National Provider Identifier Database

RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC
Diagnostic Radiology

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


Contact Information

RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC
80 MAPLE AVE
SMITHTOWN, NY11787
Phone: 631-265-5777
Fax: 631-265-5797
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC

NPI Number 1619908100
Legal business name
LBN
RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC
Authorized official EDWARD GLENN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 02213674

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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