Organization · Type 2 NPI

Tri-State Radiology, P.c.

Diagnostic Ultrasound Physician · Port Jervis, NY

NPI number 1164474532 Active

Practice location

160 E Main St, Radiology Department
Port Jervis, NY 12771-2253

Mailing address

1001 Briggs Rd, Suite 210
Mount Laurel, NJ 08054-4100

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XNone listed
Neuroradiology Physician 2085N0700XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician Primary 2085U0001XNone listed

Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

38 other providers at this address

About NPI 1164474532

Tri-State Radiology, P.c.'s National Provider Identifier is 1164474532, issued on May 16, 2006. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Port Jervis, NY. The record was last updated on Sep 11, 2025.