PROSPECT MEDICAL IMAGING P.C. NPI 1437601325

NPI Information

NPI: 1437601325
Provider Name: PROSPECT MEDICAL IMAGING P.C.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
586 MIDLAND AVE
STE 2C
STATEN ISLAND, NY
ZIP 10306
Phone: (347) 512-1716
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PROSPECT MEDICAL IMAGING P.C. is a health service clinic center in Staten Island, NY. PROSPECT MEDICAL IMAGING P.C. NPI is 1437601325. The provider is registered as an organization entity type.

The provider's business location address is:

586 MIDLAND AVE
STE 2C
STATEN ISLAND, NY
ZIP 10306-903
Phone: (347) 512-1716

The provider's authorized official is Denise Richard .
The authorized official title is President and has the following contact phone number (347) 512-1716.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

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	261QH0100X	Clinic/Center	Health Service	157428	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	157428	OTHER	NEW YORK	LIC

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

NPI Synchronization or Removal

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