Provider Demographics
NPI:1407940380
Name:GDS IMAGING, PC
Entity Type:Organization
Organization Name:GDS IMAGING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:STEMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-367-8370
Mailing Address - Street 1:21 BRITE AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2338
Mailing Address - Country:US
Mailing Address - Phone:914-815-1148
Mailing Address - Fax:914-722-6882
Practice Address - Street 1:21 BRITE AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2338
Practice Address - Country:US
Practice Address - Phone:914-815-1148
Practice Address - Fax:914-722-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW37011Medicare ID - Type Unspecified