National Provider Identifier Database

EAST SIDE MEDICAL RADIOLOGY PLLC
Diagnostic Radiology

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


Contact Information

EAST SIDE MEDICAL RADIOLOGY PLLC
62 EAST 88TH STREET
LOWER LEVEL
NEW YORK, NY10128
Phone: 212-369-9200
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for EAST SIDE MEDICAL RADIOLOGY PLLC

NPI Number 1194758490
Legal business name
LBN
EAST SIDE MEDICAL RADIOLOGY PLLC
Authorized official STEVEN WOLFF - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/09/2006
Last updated 11/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 209638

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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