Provider profile · NPI 1902236342

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Radiology, Diagnostic Radiology · Staten Island, NY · NPI 1902236342 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Radiology, Diagnostic Radiology

Enumerated

Nov 21, 2013

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING2025 RICHMOND AVE SUITE 2Staten Island, NY 10314-3937718-477-1927
LOCATION2025 RICHMOND AVE SUITE 2Staten Island, NY 10314-3937718-477-1927

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