Contract Details
Brooklyn Nuclear Spect Imaging, PC
Facility name
South Nassau Cardiology Services, PC
Provider ID
P000006203
Tax ID
112987053
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
444 Merrick Rd Suite LL5
Lynbrook, NY 11563
United States
County
Nassau
Phone
5166789100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address