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General NPI Number Information
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NPI Number | 1083659379
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Entity Type | Organization
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Legal Business Name | PERSONAL HEALTH IMAGING, PLLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 418 STANHOPE ST
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City | BROOKLYN
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State | NY
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Zip | 11237-4403
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Country | US
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Telephone | 718-456-3438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1928
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City | ALBANY
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State | NY
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Zip | 12201-1928
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Country | US
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Telephone | 845-353-0400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL LAWRENCE CARLIN
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Credential |
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Telephone | 914-552-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 43502
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License Number State | NY
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