Contract Details
Brooklyn Nuclear Spect Imaging, PC
Facility name
Poughkeepsie Cardiac Imaging
Provider ID
P000006205
Tax ID
133722903
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
2656 South Rd Suite B
Poughkeepsie, NY 12601
United States
County
Dutchess
Phone
8454545545 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address