Organization Name: | NYDIC OPEN MRI OF AMERICA-WESTCHESTER, L.L.C. |
NPI Number: | 1043255284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE M. BUCHWALTER (PRESIDENT/CEO) |
Mailing Address: | 4 Westbrook Corporate Ctr Tower 4, Suite 40 Westchester |
State: | IL US |
Postal Code: | 601545752 |
Phone Number: | 7088361050 |
Fax Number: | 7088361060 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |