Provider Demographics
NPI:1194191957
Name:DIAGNOSTIC MEDICINE SERVICES PC
Entity Type:Organization
Organization Name:DIAGNOSTIC MEDICINE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:JANKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-4002
Mailing Address - Street 1:915 BROADWAY
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7171
Mailing Address - Country:US
Mailing Address - Phone:855-522-7233
Mailing Address - Fax:914-206-4590
Practice Address - Street 1:915 BROADWAY
Practice Address - Street 2:SUITE 1200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7171
Practice Address - Country:US
Practice Address - Phone:855-522-7233
Practice Address - Fax:914-206-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Single Specialty