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General NPI Number Information
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NPI Number | 1154718757
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD RADIOLOGY SERVICES, P.C.
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 11302 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6468
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Country | US
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Telephone | 718-544-3066
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Fax | 718-275-3123
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Provider Business Mailing Address
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Address Line | 11302 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6468
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Country | US
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Telephone | 718-544-3066
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Fax | 516-495-7129
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Authorized Official
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Title or Position | DIRECTOR OF MANAGED CARE
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Name | MRS. LINDA M BOLGER
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Credential |
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Telephone | 516-495-7129
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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 | 40508697
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License Number State | NY
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