BRONX MEDICAL DIAGNOSTIC P.C. NPI 1215238969

NPI Information

NPI: 1215238969
Provider Name: BRONX MEDICAL DIAGNOSTIC, P.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3117 BUHRE AVE
BRONX, NY
ZIP 10461
Phone: (718) 764-5000
Get Directions

BRONX MEDICAL DIAGNOSTIC, P.C. is a diagnostic radiology radiology in Bronx, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRONX MEDICAL DIAGNOSTIC, P.C. NPI is 1215238969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3117 BUHRE AVE
BRONX, NY
ZIP 10461-799
Phone: (718) 764-5000
Fax: (718) 239-6308

The provider's authorized official is Mark Joseph Lodespoto .
The authorized official title is Medical Director and has the following contact phone number (718) 764-5000.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 2/10/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	171063	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01418331	MEDICAID	NEW YORK
2	E92889	MEDICARE UPIN	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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