Provider Demographics
NPI:1043742927
Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Other - Org Name:COMPREHENSIVE MRI OF WHITE PLAINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOCKE
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-694-2816
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0127
Mailing Address - Country:US
Mailing Address - Phone:631-694-2816
Mailing Address - Fax:631-390-1780
Practice Address - Street 1:311 NORTH ST
Practice Address - Street 2:SUITE G 10
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2217
Practice Address - Country:US
Practice Address - Phone:914-946-9400
Practice Address - Fax:914-946-1938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)