SHORE ROAD RADIOLOGY ASSOCIATES, PC
Radiology at 55 St, Brooklyn, NY

License number
New York 16820
Category
Radiology
Type
Nuclear Radiology
License number
New York 16820
Category
Radiology
Type
Diagnostic Radiology
License number
New York 16820
Category
Radiology
Type
Vascular & Interventional Radiology
License number
New York 16820
Category
Radiology
Type
Diagnostic Ultrasound
Owner
Name: MR. GARY DELLACERRA V.P.
Title: VP MANAGED CARE & REVENUE COMPLIANC
Phone: (718) 630-7103
Address
Address
150 55Th St, Brooklyn, NY 11220
National Provider ID: 1811903578
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHORE ROAD RADIOLOGY ASSOCIATES, PC

150 55 St STE 2-36, Brooklyn, NY 11220

Registration:
Dec 21, 1983
State ID:
882541
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Jayanth V Rao Md, 150 55 St STE 2-36, Brooklyn, NY 11220 (Physical)

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