National Provider Identifier Database

MARINE PARK RADIOLOGY PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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
* Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X

* Indicates primary specialty

NPI Profile & details for MARINE PARK RADIOLOGY PC

NPI Number 1053362699
Legal business name
LBN
MARINE PARK RADIOLOGY PC
Authorized official HAROLD TANENBAUM - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/15/2006
Last updated 11/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 02358643

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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