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ESB RADIOLOGY P.C. NPI 1558628644


NPI Information

NPI: 1558628644
Provider Name: ESB RADIOLOGY P.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
201 PORTION RD
SUITE B
RONKONKOMA, NY
ZIP 11779
Phone: (516) 872-7001
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ESB RADIOLOGY P.C. is a diagnostic radiology radiology in Ronkonkoma, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ESB RADIOLOGY P.C. NPI is 1558628644. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

201 PORTION RD
SUITE B
RONKONKOMA, NY
ZIP 11779-172
Phone: (516) 872-7001
Fax: (516) 872-7007

The provider's authorized official is Ron Mark .
The authorized official title is Medical Director and has the following contact phone number (516) 872-7001.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 4/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology214773-1NEW YORKYes

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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