1578920161 NPI number — NEW YORK HOME XRAY,LLC

Table of content: (NPI 1578920161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578920161 NPI number — NEW YORK HOME XRAY,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK HOME XRAY,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578920161
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 ARCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PAWLING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12564-1017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-590-3331
Provider Business Mailing Address Fax Number:
845-855-1010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 BELMAR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELMAR
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07719-4167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-590-3331
Provider Business Practice Location Address Fax Number:
845-855-1010
Provider Enumeration Date:
01/27/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DALY
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
845-590-3331

Provider Taxonomy Codes

  • Taxonomy code: 335V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com