Provider Demographics
NPI:1134244916
Name:RADIOLOGY ASSOCIATES OF BROOKLYN, LLP
Entity type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF BROOKLYN, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-332-6800
Mailing Address - Street 1:2021 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2905
Mailing Address - Country:US
Mailing Address - Phone:718-332-6800
Mailing Address - Fax:718-332-4209
Practice Address - Street 1:2021 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2905
Practice Address - Country:US
Practice Address - Phone:718-332-6800
Practice Address - Fax:718-332-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W99401Medicare PIN
NYW99401Medicare ID - Type UnspecifiedMEDICARE ID FOR GROUP