Provider Demographics
NPI:1033596002
Name:NEW YORK HOME ULTRASOUND LLC
Entity Type:Organization
Organization Name:NEW YORK HOME ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:845-590-3331
Mailing Address - Street 1:527 ROUTE 22 STE 4
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-1218
Mailing Address - Country:US
Mailing Address - Phone:845-289-0103
Mailing Address - Fax:845-855-1010
Practice Address - Street 1:527 ROUTE 22 STE 4
Practice Address - Street 2:
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-1218
Practice Address - Country:US
Practice Address - Phone:845-289-0103
Practice Address - Fax:845-855-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory