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General NPI Number Information
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NPI Number | 1235288580
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Entity Type | Organization
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Legal Business Name | MEDICAL IMAGING OF MANHATTAN,LLC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 106 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8102
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Country | US
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Telephone | 212-794-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 106 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8102
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Country | US
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Telephone | 212-794-2500
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING SUPERVISOR
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Name | MRS. MARCI WILSON-DANIEL
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Credential |
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Telephone | 212-794-2500
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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 |
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License Number State |
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