EAST SIDE MEDICAL RADIOLOGY PLLC – NPI #1194758490
Radiology

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

EAST SIDE MEDICAL RADIOLOGY PLLC is a radiologist located in NEW YORK, NY. NPPES has assigned the NPI number 1194758490 to EAST SIDE MEDICAL RADIOLOGY PLLC on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Nov 05, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST SIDE MEDICAL RADIOLOGY PLLC below.

NPI Profile for
EAST SIDE MEDICAL RADIOLOGY PLLC

NPI Number
1194758490
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST SIDE MEDICAL RADIOLOGY PLLC
Primary location
62 EAST 88TH STREET
LOWER LEVEL
NEW YORK, NY 10128
Phone: (212) 369-9200 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN WOLFF
OWNER
Phone: (212) 369-9200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NY 209638

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.