AIRPORT IMAGING LLC (HUDSON VALLEY IMAGING) - NPI NUMBER 1134249626

Summary

Provider Name: AIRPORT IMAGING LLC (HUDSON VALLEY IMAGING)

NPI Number: 1134249626

Clasification: Nuclear Medicine (207U00000X)

Address:
575 HUDSON VALLEY AVE
SUITE 101
NEW WINDSOR, NY
ZIP 12553

Phone Number: (845) 220-2222



Detailed Information

AIRPORT IMAGING LLC is a nuclear medicine physician in New Windsor, NY. The provider is a nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone The assigned NPI number for this provider is 1134249626 and is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Hudson Valley Imaging.

The provider's business address is:

575 HUDSON VALLEY AVE
SUITE 101
NEW WINDSOR, NY
ZIP 12553-747
Phone: (845) 220-2222
Fax: (845) 784-3755

The provider's authorized official is John Hallagen .
The authorized official title is Manager and has the following contact phone number (845) 220-2222.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 6/28/2012.

Map - Location of Practice

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Taxonomy Codes

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 207U00000X Nuclear Medicine NY No
2 2085N0700X Radiology Neuroradiology NY No
3 2085R0204X Radiology Vascular & Interventional Radiology NY No
4 2085R0202X Radiology Diagnostic Radiology NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 97ZZ81 MEDICARE PIN NY
2 02890095 MEDICAID NY

NPI Record

No. Field Name Field Value
1 NPI 1134249626
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name AIRPORT IMAGING LLC
5 Provider Other Organization Name HUDSON VALLEY IMAGING
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 575 HUDSON VALLEY AVE
8 Provider Second Line Business Practice Location Address SUITE 101
9 Provider Business Practice Location Address City Name NEW WINDSOR
10 Provider Business Practice Location Address State Name NY
11 Provider Business Practice Location Address Postal Code 125534747
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8452202222
14 Provider Business Practice Location Address Fax Number 8457843755
15 Provider Enumeration Date 3/30/2007
16 Last Update Date 6/28/2012
17 Authorized Official Last Name HALLAGEN
18 Authorized Official First Name JOHN
19 Authorized Official Title or Position MANAGER
20 Authorized Official Telephone Number 8452202222
21 Healthcare Provider Taxonomy Code 1 207U00000X
22 Provider License Number State Code 1 NY
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 2085N0700X
25 Provider License Number State Code 2 NY
26 Healthcare Provider Primary Taxonomy Switch 2 N
27 Healthcare Provider Taxonomy Code 3 2085R0204X
28 Provider License Number State Code 3 NY
29 Healthcare Provider Primary Taxonomy Switch 3 N
30 Healthcare Provider Taxonomy Code 4 2085R0202X
31 Provider License Number State Code 4 NY
32 Healthcare Provider Primary Taxonomy Switch 4 Y
33 Other Provider Identifier 1 97ZZ81
34 Other Provider Identifier Type Code 1 08
35 Other Provider Identifier State 1 NY
36 Other Provider Identifier 2 02890095
37 Other Provider Identifier Type Code 2 05
38 Other Provider Identifier State 2 NY
39 Is Organization Subpart N
40 Authorized Official Name Prefix Text MR.
41 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
42 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
43 Healthcare Provider Taxonomy Group 3 193200000X MULTI-SPECIALTY GROUP
44 Healthcare Provider Taxonomy Group 4 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.