Home » New York » 10458 » Mosholu Park Radiology Pc

Mosholu Park Radiology Pc

Mosholu Park Radiology Pc is a health care provider in Bronx, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Mosholu Park Radiology Pc, 3130 Grand Concourse Ste 1p, Bronx, NY 10458, US
Practice Location Phone718-933-6969
Practice Location Fax718-933-6970
Legal Business NameMOSHOLU PARK RADIOLOGY PC
Other Organization NameMOSHOLU PARK RADIOLOGY PC
Other Organization Name TypeDoing Business As Name
NPI ?1710996509
Entity TypeOrganization
Enumeration Date ? Aug 8, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mosholu Park Radiology Pc

SpecialtySpecializationLicenseLicense State
RadiologyBody Imaging 1252131New York
RadiologyNuclear Radiology 1252131New York
RadiologyDiagnostic Ultrasound 1252131New York

legacy-id-icon Legacy Provider IDs of Mosholu Park Radiology Pc

Provider IdIssuer StateIssuer TypeIssuer
00234428New YorkMedicaid

official-icon Authorized Official of Mosholu Park Radiology Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mosholu Park Radiology Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Andresito B Pacis (MD)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number718-933-6969