Provider Demographics
NPI:1871751081
Name:NETRADIOLOGY, P.C.
Entity type:Organization
Organization Name:NETRADIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GAGARINI
Authorized Official - Middle Name:T
Authorized Official - Last Name:ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-682-2105
Mailing Address - Street 1:50 MAIN ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1901
Mailing Address - Country:US
Mailing Address - Phone:914-682-2105
Mailing Address - Fax:914-293-2659
Practice Address - Street 1:26 RIDGELINE DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6267
Practice Address - Country:US
Practice Address - Phone:914-682-2105
Practice Address - Fax:914-293-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01600004Medicaid
NYF61718Medicare UPIN