Organization Name: | METRO PHYSICIAN ASSOCIATES LLP |
NPI Number: | 1346499696 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH JOHN HERWIG (MEDICAL DIRECTOR) |
Mailing Address: | 1812 College Point Blvd College Point |
State: | NY US |
Postal Code: | 113562221 |
Phone Number: | 2124758066 |
Fax Number: | 2124754175 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 114071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |