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ATLANTIC AVENUE RADIOLOGY PC NPI 1104100940


NPI Information

NPI: 1104100940
Provider Name: ATLANTIC AVENUE RADIOLOGY PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1545 ATLANTIC AVE
INTERFAITH MEDICAL CENTER
BROOKLYN, NY
ZIP 11213
Phone: (718) 613-4405
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ATLANTIC AVENUE RADIOLOGY PC is a diagnostic radiology radiology in Brooklyn, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ATLANTIC AVENUE RADIOLOGY PC NPI is 1104100940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1545 ATLANTIC AVE
INTERFAITH MEDICAL CENTER
BROOKLYN, NY
ZIP 11213-122
Phone: (718) 613-4405
Fax: (718) 613-4989

The provider's authorized official is Vandana A Chokshi .
The authorized official title is President and has the following contact phone number (718) 613-4405.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
22085D0003XRadiologyDiagnostic NeuroimagingNo
32085U0001XRadiologyDiagnostic UltrasoundNo
42085N0700XRadiologyNeuroradiologyNo
52085N0904XRadiologyNuclear RadiologyNo
62085P0229XRadiologyPediatric RadiologyNo
72085R0203XRadiologyTherapeutic RadiologyNo
82085R0204XRadiologyVascular & Interventional RadiologyNo
92085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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