Contract Details
Brooklyn Nuclear Spect Imaging, PC
Facility name
Ryebrook Nuclear
Provider ID
P000006208
Tax ID
133633473
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
11 Rye Ridge Plz Suite 11
Rye Brook, NY 10573
United States
County
Westchester
Phone
9149341300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address