Provider Demographics
NPI:1730478264
Name:VASCULAR IMAGING, INC
Entity Type:Organization
Organization Name:VASCULAR IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-498-1394
Mailing Address - Street 1:1600 DEER PARK AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5208
Mailing Address - Country:US
Mailing Address - Phone:888-848-2060
Mailing Address - Fax:888-848-6614
Practice Address - Street 1:16215 HIGHLAND AVE STE 1A
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3459
Practice Address - Country:US
Practice Address - Phone:718-297-8398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty