Provider Demographics
NPI:1164479259
Name:HILLCREST RADIOLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HILLCREST RADIOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-380-6010
Mailing Address - Street 1:8015 164TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1116
Mailing Address - Country:US
Mailing Address - Phone:718-380-6010
Mailing Address - Fax:718-969-8108
Practice Address - Street 1:8015 164TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1116
Practice Address - Country:US
Practice Address - Phone:718-380-6010
Practice Address - Fax:718-969-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
28041Medicare ID - Type Unspecified