Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Cove Radiologic Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1528715158

Glen Cove Radiologic Imaging LLC is a Diagnostic Radiology Physician in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1825 Riverside Dr Apt 1B
New York, NY 10034-5308
Phone: (631) 269-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1528715158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bonheim — Md, Owner · (631) 269-0888
NPI enumeratedMarch 3, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing addressPo Box 1391, Commack, NY 11725-0930

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