| New Dorp Mri & Imaging | |
|
27 New Dorp Ln Staten Island NY 10306-2322 | |
| (718) 667-3597 | |
| (718) 667-3590 |
| Full Name | New Dorp Mri & Imaging |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 27 New Dorp Ln, Staten Island, New York |
| Authorized Official Name and Position | Allan B Perel (DIRECTOR) |
| Authorized Official Contact | 7186673597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dorp Mri & Imaging 27 New Dorp Ln Staten Island NY 10306-2322 Ph: (718) 667-3597 | New Dorp Mri & Imaging 27 New Dorp Ln Staten Island NY 10306-2322 Ph: (718) 667-3597 |
| NPI Number | 1881644250 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 5799740577 |
|---|---|
| Medicare Enrollment ID | O20050128000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881644250 | NPI | - | NPPES |
| 02712774 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 167203 (New York) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 196628 (New York) | Secondary |
| Provider Name | Daniel Eli Beyda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437136579 PECOS PAC ID: 5799698577 Enrollment ID: I20031107000356 |
| Provider Name | Charles J Demarco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285634576 PECOS PAC ID: 4183525165 Enrollment ID: I20040311001285 |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | Ludmila B Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457326563 PECOS PAC ID: 5597724963 Enrollment ID: I20041011000234 |
| Provider Name | Allan B Perel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295700177 PECOS PAC ID: 5799749024 Enrollment ID: I20041117000007 |
| Provider Name | Ida K Altshuler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497720536 PECOS PAC ID: 3779503693 Enrollment ID: I20051206000830 |
| Provider Name | Tuzeen Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275758294 PECOS PAC ID: 4981858131 Enrollment ID: I20130218000038 |
| Provider Name | Priya M Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104450899 PECOS PAC ID: 0840612354 Enrollment ID: I20200629002822 |
| Provider Name | Daniel M Ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740648922 PECOS PAC ID: 3779983572 Enrollment ID: I20210616001233 |
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