Organization · Type 2 NPI

Shore Road Radiology Associates, PC

Diagnostic Radiology Physician · Brooklyn, NY

NPI number 1811903578 Active

Practice location

150 55th St
Brooklyn, NY 11220-2559

Fax (718) 630-7437

Mailing address

5800 3rd Ave, Lutheran Medical Center-Managed Care Department
Brooklyn, NY 11220-3702

Specialties and licenses

TaxonomyCodeLicense
Nuclear Radiology Physician 2085N0904X16820 (NY)
Diagnostic Radiology Physician Primary 2085R0202X16820 (NY)
Vascular & Interventional Radiology Physician 2085R0204X16820 (NY)
Diagnostic Ultrasound Physician 2085U0001X16820 (NY)

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

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About NPI 1811903578

Shore Road Radiology Associates, PC's National Provider Identifier is 1811903578, issued on Aug 1, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 8, 2008.