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General NPI Number Information
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NPI Number | 1184691537
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Entity Type | Organization
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Legal Business Name | RADIOLOGY SERVICES OF NEW YORK PC
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 2777 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4660
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Country | US
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Telephone | 718-979-0100
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Fax | 718-979-3602
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Provider Business Mailing Address
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Address Line | 2777 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4660
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Country | US
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Telephone | 718-979-0100
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Fax | 718-979-3602
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SASAN YASHARPOUR
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Credential | MD
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Telephone | 718-979-0100
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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 | M98117385878
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License Number State | NY
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