1538117379

Everything you always wanted to know about ADVANCED RADIOLOGICAL PET IMAGING, P.C. TARTELL JAY but were afraid to ask.

ADVANCED RADIOLOGICAL PET IMAGING, P.C. TARTELL JAY

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Organization Name Authorized Official Last Name Authorized Official First Name
ADVANCED RADIOLOGICAL PET IMAGING, P.C. TARTELL JAY
Gender:
none
Enumeration date:
2006-05-04
Last update date:
2015-02-05
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
02442648 Medicaid none NY
05677 Medicare PIN none NY

Taxonomies

Taxonomy State License Number Primary?
2085D0003X Diagnostic Neuroimaging none none

Phone Numbers

Type Number
Mailing Address Telephone Number 3153625285
Authorized Official Telephone Number 7182045800
Practice Location Address Telephone Number 7182047774
Mailing Address Fax Number 3153622936
Practice Location Address Fax Number 7182046967

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 2002 EAST SYRACUSE NY 13057 NY
Practice Location Address 2334 30TH AVE ASTORIA NY 0 NY

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