| Distinguished Diagnostic Imaging P.c. | |
|
1484 Williamsbridge Rd Bronx NY 10461-2505 | |
| (718) 828-6800 | |
| Not Available |
| Full Name | Distinguished Diagnostic Imaging P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1484 Williamsbridge Rd, Bronx, New York |
| Authorized Official Name and Position | Joel Reisman (ADMINISTRATOR) |
| Authorized Official Contact | 7188286800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinguished Diagnostic Imaging P.c. 1484 Williamsbridge Rd Bronx NY 10461-2505 Ph: (718) 828-6800 | Distinguished Diagnostic Imaging P.c. 1484 Williamsbridge Rd Bronx NY 10461-2505 Ph: (718) 828-6800 |
| NPI Number | 1306061890 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/13/2008 |
| Medicare PECOS PAC ID | 9739079906 |
|---|---|
| Medicare Enrollment ID | O20040319000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306061890 | NPI | - | NPPES |
| 00901271 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 50009328 (New York) | Primary |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | John T Rigney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255449229 PECOS PAC ID: 6103814272 Enrollment ID: I20040505001559 |
| Provider Name | Daniel B Lerer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316066228 PECOS PAC ID: 7911989603 Enrollment ID: I20040605000247 |
| Provider Name | Victoria Beyda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922085067 PECOS PAC ID: 0749264216 Enrollment ID: I20040614001517 |
| Provider Name | John S Lyons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972590438 PECOS PAC ID: 9830186600 Enrollment ID: I20041213000573 |
| Provider Name | Reginald J Denis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699984682 PECOS PAC ID: 6901905124 Enrollment ID: I20070628000123 |
| Provider Name | Menachem Gold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528223526 PECOS PAC ID: 5496816746 Enrollment ID: I20081205000275 |
| Provider Name | Justin F Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053387928 PECOS PAC ID: 8628020112 Enrollment ID: I20090618000380 |
| Provider Name | Yi Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144458258 PECOS PAC ID: 7315180858 Enrollment ID: I20130830000423 |
| Provider Name | Nathaniel Margolis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073747259 PECOS PAC ID: 4183943889 Enrollment ID: I20150430001808 |
| Provider Name | David Borukhov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902105190 PECOS PAC ID: 8820375017 Enrollment ID: I20170425001749 |
| Provider Name | Robin J Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740226026 PECOS PAC ID: 1153460837 Enrollment ID: I20180404001152 |
| Provider Name | Michael Rozenfeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891937454 PECOS PAC ID: 6305137043 Enrollment ID: I20190131001754 |
| Provider Name | Robert Jadali Aria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164744819 PECOS PAC ID: 0941438188 Enrollment ID: I20191126001641 |
| Provider Name | Jamel D Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104111608 PECOS PAC ID: 3274817317 Enrollment ID: I20191202000400 |
| Provider Name | Anthony A Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801866397 PECOS PAC ID: 0749176394 Enrollment ID: I20200114003095 |
| Provider Name | Nazih Farah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508816315 PECOS PAC ID: 4880582287 Enrollment ID: I20200723001292 |
| Provider Name | Andrew Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053349449 PECOS PAC ID: 6507760139 Enrollment ID: I20200723001434 |
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