Provider Demographics
NPI:1811627904
Name:BROOKLYN RADIOLOGY READING SERVICES PC
Entity Type:Organization
Organization Name:BROOKLYN RADIOLOGY READING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:IZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-344-2855
Mailing Address - Street 1:1351 SHINNECOCK LN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-7764
Mailing Address - Country:US
Mailing Address - Phone:718-344-2855
Mailing Address - Fax:
Practice Address - Street 1:8675 BAY PKWY APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4186
Practice Address - Country:US
Practice Address - Phone:516-512-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty