PET-CT RADIOLOGY PLLC


Address: 8715 5th Ave, Brooklyn, NY 11209-5230
Phone: 7188362200

PET-CT RADIOLOGY PLLC (NPI# 1366681066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366681066
Entity Type Organization
Organization Name PET-CT RADIOLOGY PLLC
Practice Address 8715 5th Ave
Brooklyn
NY 11209-5230
Practice Telephone 7188362200
Practice Fax Number 7188362226
Mailing Telephone 7188362200
Mailing Fax Number 7188362226
Enumeration Date 2009-02-19
Last Update Date 2009-02-19
Authorized Official Name DR. SERGE SOMROV (PRESIDENT)
Authorized Official Telephone 7188362200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Office Location

Street Address 8715 5TH AVE
City BROOKLYN
State NY
Zip Code 11209-5230

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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City BROOKLYN
Zip Code 11209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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