OrganizationCommunity RadiologySpecialistOther Service ProvidersPractice Address849 57th St, Suite B, Brooklyn, NY 11220-3617(732) 598-3310PECOS EnrollmentBased on the most recent information from CMS, provider Community Radiology does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1861764540Provider TypeOrganizationFull NameCommunity RadiologySubpartNoEnumeration Date1/27/2012Last Updated1/27/2012Contact InformationPractice LocationPractice Address849 57th St, Suite B, Brooklyn, NY 11220-3617Phone(732) 598-3310FaxUnlisted FaxMailing LocationMailing Address849 57th St, Suite B, Brooklyn, NY 11220-3617Phone(732) 598-3310FaxUnlisted FaxAuthorized OfficialNamePiccinnini, Charles M. (Administrative Director)Phone(732) 598-3310Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense152868-1New YorkProvider IdentifiersIDDescriptionIssuerID02714469DescriptionMedicaidIssuerUnlistedNew York