Provider Demographics
NPI:1558433771
Name:RYE RADIOLOGY ASSOCIATES,LLP
Entity Type:Organization
Organization Name:RYE RADIOLOGY ASSOCIATES,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LORUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-253-9200
Mailing Address - Street 1:30 RYE RIDGE PLZ
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2820
Mailing Address - Country:US
Mailing Address - Phone:914-253-9200
Mailing Address - Fax:914-253-8827
Practice Address - Street 1:30 RYE RIDGE PLZ
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2820
Practice Address - Country:US
Practice Address - Phone:914-253-9200
Practice Address - Fax:914-253-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108027-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00190510Medicaid
NY01505191Medicaid
NY00190510Medicaid