Provider Demographics
NPI:1982942272
Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Other - Org Name:STAND-UP MRI OF WANTAGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-694-2929
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0127
Mailing Address - Country:US
Mailing Address - Phone:631-694-2816
Mailing Address - Fax:631-390-1779
Practice Address - Street 1:1165 WANTAGH AVENUE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793
Practice Address - Country:US
Practice Address - Phone:516-781-1800
Practice Address - Fax:516-781-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology