Provider Demographics
NPI:1184840613
Name:SOCRATES MEDICAL HEALTH P.C.
Entity Type:Organization
Organization Name:SOCRATES MEDICAL HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-294-2500
Mailing Address - Street 1:200 W TREMONT AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-5316
Mailing Address - Country:US
Mailing Address - Phone:718-294-2500
Mailing Address - Fax:718-294-8138
Practice Address - Street 1:200 W TREMONT AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-5316
Practice Address - Country:US
Practice Address - Phone:718-294-2500
Practice Address - Fax:718-294-8138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194191261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)