Provider Demographics
NPI:1902835994
Name:NEW HYDE PARK IMAGING
Entity Type:Organization
Organization Name:NEW HYDE PARK IMAGING
Other - Org Name:U.S. DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEANGELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-731-2500
Mailing Address - Street 1:1963 GRAND CONCOURSE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4929
Mailing Address - Country:US
Mailing Address - Phone:718-731-2500
Mailing Address - Fax:718-731-5100
Practice Address - Street 1:1963 GRAND CONCOURSE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4929
Practice Address - Country:US
Practice Address - Phone:718-731-2500
Practice Address - Fax:718-731-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER