RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC; NPI #1619908100

Contact Information

RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC

80 MAPLE AVE
SMITHTOWN, NY 11787

Phone: 631-265-5777
Fax: 631-265-5797
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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

NPI Number 1619908100

LBN Legal business name RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC

Authorized official EDWARD GLENN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

02213674

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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