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

Mosholu Park Radiology PC

Organization Body Imaging Physician · NPI 1710996509

Mosholu Park Radiology PC is a Body Imaging Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mosholu Park Radiology Pc 3130 Grand Concourse Ste 1P
Bronx, NY 10458
Phone: (718) 933-6969
Fax: (718) 933-6970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence 1252131 (NY)
Body Imaging Physician Taxonomy 2085B0100X · Licence 1252131 (NY)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 1252131 (NY)

Record details

NPI number1710996509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andresito Pacis — President · (718) 933-6969
Other names Mosholu Park Radiology Pc
NPI enumeratedAugust 8, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressMosholu Park Radiology Pc, 3130 Grand Concourse Ste 1p, Bronx, NY 10458

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