Provider Demographics
NPI:1841374592
Name:GUN HILL MRI PC
Entity type:Organization
Organization Name:GUN HILL MRI PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR. OF PROV. SVCS & NTWK. CONTRACT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-377-4668
Mailing Address - Street 1:100 CORPORATE DR
Mailing Address - Street 2:MMC- CMO
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6807
Mailing Address - Country:US
Mailing Address - Phone:914-378-6021
Mailing Address - Fax:914-709-0386
Practice Address - Street 1:200 E GUN HILL RD
Practice Address - Street 2:GUN HILL MRI
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2159
Practice Address - Country:US
Practice Address - Phone:718-798-5449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW24661Medicare PIN