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Contact Information

MARINE PARK RADIOLOGY PC
2270 KIMBALL STREET
STE 102
BROOKLYN, NY11234
 Phone: 718-253-6616
 Fax: 718-253-7059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for MARINE PARK RADIOLOGY PC · (Female)

NPI # 1053362699
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 11/04/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02358643
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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