| Provider Type: | Allopathic & Osteopathic Physicians |
| Provider Classification: | Radiology |
| Provider Specialization: | Body Imaging |
| Definition of Specialization: | |
| Address: |
516 E 72nd St New York, NY 10021-4804 |
| Phone: | (212) 746-5889 |
| Fax: | (212) 746-6681 |
| Authorized Official: | Kells, Christopher T. |
| Authorized Official Position: | Associate Administrator |
| Authorized Official Phone: | (212) 590-5741 |
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