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 provides Diagnostic Radiology Physician services 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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