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General NPI Number Information
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NPI Number | 1154046472
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE RADIOLOGY, PLLC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 960 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-2946
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Country | US
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Telephone | 516-515-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 166 W 18TH ST APT 6E
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City | NEW YORK
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State | NY
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Zip | 10011-5479
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Country | US
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Telephone | 516-242-2022
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Fax |
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Authorized Official
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Title or Position | OWNER OF PRACTICE
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Name | DR. TERESA Z SCLAFANI
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Credential | MD
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Telephone | 516-242-2022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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