Provider Demographics
NPI:1487765608
Name:METROPOLITAN RADIOLOGICAL IMAGING PC
Entity type:Organization
Organization Name:METROPOLITAN RADIOLOGICAL IMAGING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-872-4089
Mailing Address - Street 1:800 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 641N
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1354
Mailing Address - Country:US
Mailing Address - Phone:914-872-4089
Mailing Address - Fax:914-872-4091
Practice Address - Street 1:13848 ELDER AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4066
Practice Address - Country:US
Practice Address - Phone:718-321-7100
Practice Address - Fax:718-321-7115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07343Medicare ID - Type Unspecified