Provider Demographics
NPI:1033325865
Name:ELMONT OPEN MRI & DIAGNOSTICS RADIOLOGY, PC
Entity Type:Organization
Organization Name:ELMONT OPEN MRI & DIAGNOSTICS RADIOLOGY, PC
Other - Org Name:ALL COUNTY OPEN MRI & DIAGNOSTICS RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COLLECTION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-437-3600
Mailing Address - Street 1:1390 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2539
Mailing Address - Country:US
Mailing Address - Phone:516-437-3600
Mailing Address - Fax:516-326-1702
Practice Address - Street 1:16105 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-1426
Practice Address - Country:US
Practice Address - Phone:718-359-8700
Practice Address - Fax:718-762-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty