Provider Demographics
NPI:1528391059
Name:EXPERT ULTRASOUND DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:EXPERT ULTRASOUND DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIZA
Authorized Official - Middle Name:PETRE
Authorized Official - Last Name:FLORENTINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-553-2700
Mailing Address - Street 1:124 WEST 60TH STREET
Mailing Address - Street 2:SUITE 35D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7492
Mailing Address - Country:US
Mailing Address - Phone:917-553-2700
Mailing Address - Fax:917-423-0433
Practice Address - Street 1:124 W 60TH ST
Practice Address - Street 2:SUITE 35D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7451
Practice Address - Country:US
Practice Address - Phone:917-553-2700
Practice Address - Fax:917-423-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile