National Provider Identifier Database

BROOKLYN 83RD ST MEDICAL
Diagnostic Radiology

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


Contact Information

BROOKLYN 83RD ST MEDICAL
763 E 83RD ST
BROOKLYN, NY11236
Phone: 718-531-2500
Fax: 718-531-2552
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for BROOKLYN 83RD ST MEDICAL

NPI Number 1174539829
Legal business name
LBN
BROOKLYN 83RD ST MEDICAL
Authorized official PETER SOLOWAY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01566581

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.

Reviews for BROOKLYN 83RD ST MEDICAL

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