Contract Details
Brooklyn Nuclear Spect Imaging, PC
Facility name
East Side Cardiac Imaging
Provider ID
P000006212
Tax ID
112934207
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
150 East 61st St
New York, NY 10065
United States
County
New York
Phone
2126440002 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address