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General NPI Number Information
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NPI Number | 1043406820
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Entity Type | Organization
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Legal Business Name | M.G.K.S.C.Z. MAGNETIC RESONANCE IMAGING P.C.
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 165 E 84TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-2049
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Country | US
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Telephone | 212-535-9770
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Fax | 212-427-5273
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Provider Business Mailing Address
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Address Line | 165 E 84TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-2049
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Country | US
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Telephone | 212-535-9770
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Fax | 212-427-5273
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. KEVIN BROSNAN
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Credential |
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Telephone | 212-518-2901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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