Provider Demographics
NPI:1952530123
Name:3D IMAGING
Entity Type:Organization
Organization Name:3D IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KADOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-354-6444
Mailing Address - Street 1:165 W 46TH ST
Mailing Address - Street 2:SUITE 611
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2501
Mailing Address - Country:US
Mailing Address - Phone:212-354-6444
Mailing Address - Fax:
Practice Address - Street 1:165 W 46TH ST
Practice Address - Street 2:SUITE 611
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2501
Practice Address - Country:US
Practice Address - Phone:212-354-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0410711122300000X
NY053464-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty