Provider Demographics
NPI:1659659076
Name:EXPERT RADIOLOGY IMAGING, P.C.
Entity Type:Organization
Organization Name:EXPERT RADIOLOGY IMAGING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMI
Authorized Official - Middle Name:ARVINDRAY
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-903-2762
Mailing Address - Street 1:630 1ST AVE
Mailing Address - Street 2:SUITE 30 L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3700
Mailing Address - Country:US
Mailing Address - Phone:917-903-2762
Mailing Address - Fax:
Practice Address - Street 1:630 1ST AVE
Practice Address - Street 2:SUITE 30 L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3700
Practice Address - Country:US
Practice Address - Phone:917-903-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201763261QR0200X, 261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile