Provider Demographics
NPI:1922392810
Name:PREFERRED MEDICAL NUCLEAR IMAGING P.C.
Entity Type:Organization
Organization Name:PREFERRED MEDICAL NUCLEAR IMAGING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDENTOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-931-3232
Mailing Address - Street 1:PO BOX 5004
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-0252
Mailing Address - Country:US
Mailing Address - Phone:718-931-3232
Mailing Address - Fax:718-931-2023
Practice Address - Street 1:1111 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-2310
Practice Address - Country:US
Practice Address - Phone:718-931-3232
Practice Address - Fax:718-931-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty