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 | 2085B0100X | Radiology | Body Imaging | 255874-1 | NEW YORK | No |
2 | 2085R0203X | Radiology | Therapeutic Radiology | 255874-1 | NEW YORK | No |
3 | 2085U0001X | Radiology | Diagnostic Ultrasound | 255874-1 | NEW YORK | No |
4 | 2085R0202X | Radiology | Diagnostic Radiology | 25MA0942030 | NEW JERSEY | No |
5 | 2085R0202X | Radiology | Diagnostic Radiology | 255874-1 | NEW YORK | Yes |