PAVILION RADIOLOGY PC NPI 1184028201

NPI Information

NPI: 1184028201
Provider Name: PAVILION RADIOLOGY PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2103 DEER PARK AVE
DEER PARK, NY
ZIP 11729
Phone: (631) 667-0202
Get Directions

PAVILION RADIOLOGY PC is a diagnostic radiology radiology in Deer Park, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PAVILION RADIOLOGY PC NPI is 1184028201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2103 DEER PARK AVE
DEER PARK, NY
ZIP 11729-319
Phone: (631) 667-0202

The provider's authorized official is Robert Solomon .
The authorized official title is Owner and has the following contact phone number (631) 667-0202.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/17/2014.

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			Yes

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: 5/5/2024

NPI Synchronization or Removal

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