Provider Demographics
NPI:1023538261
Name:ARTELERADIOLOGY OF NEW YORK, PC
Entity Type:Organization
Organization Name:ARTELERADIOLOGY OF NEW YORK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-814-9955
Mailing Address - Street 1:477 MADISON AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5818
Mailing Address - Country:US
Mailing Address - Phone:212-455-9555
Mailing Address - Fax:212-687-9044
Practice Address - Street 1:477 MADISON AVE STE 410
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5818
Practice Address - Country:US
Practice Address - Phone:212-455-9555
Practice Address - Fax:212-687-9044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty