Individual provider · Type 1 NPI
Dallas Broadway, MD
Diagnostic Radiology Physician · New York, NY
NPI number
1366646416
Active
Practice location
622 W 168th St, New York, Ny 10032
New York, NY 10032
Mailing address
1010 NW Loop 410 Ste 100B
San Antonio, TX 78213-2220
Other practice locations
- 13813 Metro Pkwy, Fort Myers, FL 33912-4343 · (855) 674-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME135979 (FL) |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 25MA09187400 (NJ) |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 249640 (NY) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 249640 (NY) |
| Vascular & Interventional Radiology Physician | 2085R0204X | P8223 (TX) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
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About NPI 1366646416
Dallas Broadway, MD's National Provider Identifier is 1366646416, issued on Jun 13, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Aug 25, 2026.