MEADOWS NUCLEAR SPECT IMAGING PC NPI 1962573592

NPI Information

NPI: 1962573592
Provider Name: MEADOWS NUCLEAR SPECT IMAGING, PC
Classification: Nuclear Medicine - 207UN0901X
Entity Type: Organization

Specialization: Nuclear Cardiology

Address:
496 SMITHTOWN BYP
SUITE 206
SMITHTOWN, NY
ZIP 11787
Phone: (631) 979-1699
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MEADOWS NUCLEAR SPECT IMAGING, PC is a nuclear cardiology nuclear medicine in Smithtown, NY. The provider is a nuclear medicine physician who specializes in nuclear cardiology. MEADOWS NUCLEAR SPECT IMAGING, PC NPI is 1962573592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

496 SMITHTOWN BYP
SUITE 206
SMITHTOWN, NY
ZIP 11787-005
Phone: (631) 979-1699
Fax: (631) 979-1667

The provider's authorized official is Jacqueline Mayer .
The authorized official title is Vp, Managed Care & Credentialing and has the following contact phone number (631) 952-5717.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.

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	207UN0901X	Nuclear Medicine	Nuclear Cardiology			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	02082653	MEDICAID	NEW YORK

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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