Provider Demographics
NPI:1114956489
Name:MEDICAL IMAGING OF NEW YORK PC
Entity Type:Organization
Organization Name:MEDICAL IMAGING OF NEW YORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEINART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-332-6809
Mailing Address - Street 1:1694 64TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2715
Mailing Address - Country:US
Mailing Address - Phone:718-332-6809
Mailing Address - Fax:718-259-2238
Practice Address - Street 1:1694 64TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2715
Practice Address - Country:US
Practice Address - Phone:718-332-6809
Practice Address - Fax:718-259-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61850Medicare UPIN
NYWTD981Medicare PIN