Professional Diagnostic Sonography, Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

PROFESSIONAL DIAGNOSTIC SONOGRAPHY, INC

Practice address

6545 Myrtle Ave
Glendale, NY 11385-7028

Phone

(718) 386-8137

Fax

(718) 386-7908

NPI assigned

Aug 5, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerardo Palermo, RDMS, RDCS, RVT

Title

Manager

Phone

(718) 386-8137

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1154512267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "718-386-8137",
            "fax_number": "718-386-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "718-386-8137",
            "fax_number": "718-386-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DIAGNOSTIC SONOGRAPHY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-386-8137",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS, RDCS, RVT"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Glendale, NY
• Providers in Glendale, NY by specialty
• Sonography Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.