Provider Demographics
NPI:1093937294
Name:NUCLEAR IMAGING OF NEW ROCHELLE, P.C.
Entity Type:Organization
Organization Name:NUCLEAR IMAGING OF NEW ROCHELLE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-633-3000
Mailing Address - Street 1:421 HUGUENOT STREET
Mailing Address - Street 2:SUITE 42
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5635
Mailing Address - Country:US
Mailing Address - Phone:914-633-3000
Mailing Address - Fax:914-633-3082
Practice Address - Street 1:421 HUGUENOT STREET
Practice Address - Street 2:SUITE 42
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5635
Practice Address - Country:US
Practice Address - Phone:914-633-3000
Practice Address - Fax:914-633-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty