Provider Demographics
NPI:1326629072
Name:INNERVIEW IMAGING LLC
Entity Type:Organization
Organization Name:INNERVIEW IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-766-3531
Mailing Address - Street 1:32 FREDERICK AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-3212
Mailing Address - Country:US
Mailing Address - Phone:631-766-3531
Mailing Address - Fax:
Practice Address - Street 1:32 FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-3212
Practice Address - Country:US
Practice Address - Phone:631-766-3531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty