Provider Demographics
NPI:1083048854
Name:ARIS DIAGNOSTIC MEDICAL, PLLC
Entity Type:Organization
Organization Name:ARIS DIAGNOSTIC MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IOSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-396-9128
Mailing Address - Street 1:8809 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2118
Mailing Address - Country:US
Mailing Address - Phone:718-577-5152
Mailing Address - Fax:718-835-7564
Practice Address - Street 1:8809 101ST AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-2118
Practice Address - Country:US
Practice Address - Phone:718-577-5152
Practice Address - Fax:718-835-7564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236451207R00000X
NY2504262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty