Provider Demographics
NPI:1285954123
Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE MRI OF NEW YORK, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-694-2929
Mailing Address - Street 1:110 MARCUS DR
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4228
Mailing Address - Country:US
Mailing Address - Phone:631-694-2929
Mailing Address - Fax:631-390-1779
Practice Address - Street 1:570 11TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4300
Practice Address - Country:US
Practice Address - Phone:212-244-2633
Practice Address - Fax:212-244-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology