Provider Demographics
NPI:1962695163
Name:CABRY RADIOLOGY, PC
Entity type:Organization
Organization Name:CABRY RADIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALUCA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-939-6234
Mailing Address - Street 1:13259 41ST RD
Mailing Address - Street 2:SUITE CB
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4257
Mailing Address - Country:US
Mailing Address - Phone:718-939-6234
Mailing Address - Fax:
Practice Address - Street 1:13259 41ST RD
Practice Address - Street 2:SUITE CB
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4257
Practice Address - Country:US
Practice Address - Phone:718-939-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08194Medicare PIN