Alan Berlly, MDPC
Organization Active NPI Radiology Clinic/Center · East Meadow, NY
NPI 1760469811 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1760469811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ALAN BERLLY, MDPC
- Practice address
- 1854 Front St
East Meadow, NY 11554-2444 - Phone
- (516) 228-0110
- Fax
- (516) 228-0111
- NPI assigned
- Dec 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan Berlly, MD
- Title
- Senior Partner
- Phone
- (631) 517-8006
Practitioners 5
-
Alan Berlly, MD
-
Mark J Decker, MD
-
Richard Rafal, M.D.
-
Sydney S. Yoon, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
1854 Front St
East Meadow, NY 11554-2444
Mailing address
PO Box 18005
Hauppauge, NY 11788-8805
Phone (631) 517-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00730814 | Medicaid | NY |
Other names
- Meadow Diagnostic Imaging
Other providers in East Meadow, NY
- Mehmet Alagoz
- MD Sanjidul Alam
- Owais Alam
- Shazia Alam
- Sarah Alamprese
- James E Alberry II
- John Matthew Alexander
- Soosamma Alexander
- Jamlen Alfano
- Alya Ali
All providers in East Meadow, NY · Radiology Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.