Provider Demographics
NPI:1932155835
Name:OSTROVSKY MRI PC
Entity type:Organization
Organization Name:OSTROVSKY MRI PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:OSTROVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-879-6200
Mailing Address - Street 1:LINCOLN BUILDING, 60 E. 42ND ST
Mailing Address - Street 2:SUITE 1138
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10165-1138
Mailing Address - Country:US
Mailing Address - Phone:212-871-8086
Mailing Address - Fax:212-871-8768
Practice Address - Street 1:95 UNIVERSITY PL
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4515
Practice Address - Country:US
Practice Address - Phone:212-260-2500
Practice Address - Fax:212-260-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW24121Medicare ID - Type UnspecifiedPROVIDER NUMBER