Provider Demographics
NPI:1609084326
Name:METROSCAN MEDICAL DIAGNOSTICS
Entity Type:Organization
Organization Name:METROSCAN MEDICAL DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-247-3666
Mailing Address - Street 1:331 W 57TH ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3101
Mailing Address - Country:US
Mailing Address - Phone:212-247-3666
Mailing Address - Fax:212-247-3838
Practice Address - Street 1:347 W 57TH ST
Practice Address - Street 2:SUITE 42D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3173
Practice Address - Country:US
Practice Address - Phone:212-247-3666
Practice Address - Fax:212-247-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106426207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty