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General NPI Number Information
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NPI Number | 1043484769
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Entity Type | Organization
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Legal Business Name | CCF NEW YORK MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 BRECKSVILLE RD STE 20 ATTN: DPC RK2-7
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City | INDEPENDENCE
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State | OH
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Zip | 44131-5062
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP SAFETY QUALITY PATIENT EXPERIENC
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Name | STEVEN SHOOK
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Credential |
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Telephone | 216-444-9479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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