Provider Demographics
NPI:1417255381
Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Other - Org Name:STAND-UP MRI OF YONKERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-694-2929
Mailing Address - Street 1:110 MARCUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4228
Mailing Address - Country:US
Mailing Address - Phone:631-390-1793
Mailing Address - Fax:631-390-1780
Practice Address - Street 1:1034 NORTH BROADWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1329
Practice Address - Country:US
Practice Address - Phone:914-969-1818
Practice Address - Fax:914-969-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology