Organization Name: | NEW YORK TELERAD LLC |
NPI Number: | 1245568104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH GATEWOOD (PRESIDENT) |
Mailing Address: | 9523 Lakeside Court Clarence |
State: | NY US |
Postal Code: | 140310000 |
Phone Number: | 8664281720 |
Fax Number: | 2147122002 |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |