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General NPI Number Information
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NPI Number | 1245412428
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Entity Type | Organization
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Legal Business Name | YONKERS RADIOLOGY PC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 2 PARK AVE
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City | YONKERS
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State | NY
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Zip | 10703-3402
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Country | US
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Telephone | 914-966-9787
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Fax | 914-966-9793
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Provider Business Mailing Address
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Address Line | PO BOX 998 ATTN: RIVERSIDE MANAGEMENT SERVICES ORG.
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City | YONKERS
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State | NY
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Zip | 10703-0998
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Country | US
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Telephone | 914-966-9787
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Fax | 914-966-9793
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN ROBINSON
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Credential | MD
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Telephone | 914-966-9787
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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 |
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License Number State |
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