Provider Demographics
NPI:1376539080
Name:NEW ROCHELLE RADIOLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NEW ROCHELLE RADIOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-418-6214
Mailing Address - Street 1:175 MEMORIAL HWY STE LL14
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5655
Mailing Address - Country:US
Mailing Address - Phone:914-633-7700
Mailing Address - Fax:914-576-8503
Practice Address - Street 1:175 MEMORIAL HWY
Practice Address - Street 2:LL14
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5635
Practice Address - Country:US
Practice Address - Phone:914-633-7700
Practice Address - Fax:914-576-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03004042Medicaid
NY00497407Medicaid