Provider Demographics
NPI:1639649635
Name:MEDICAL IMAGING OF BRONX PC
Entity Type:Organization
Organization Name:MEDICAL IMAGING OF BRONX PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOSIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-265-1000
Mailing Address - Street 1:3049 OCEAN PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8372
Mailing Address - Country:US
Mailing Address - Phone:718-265-1000
Mailing Address - Fax:
Practice Address - Street 1:1500 ASTOR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5900
Practice Address - Country:US
Practice Address - Phone:718-265-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY226320OtherLICENSE