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General NPI Number Information
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NPI Number | 1265474779
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Entity Type | Organization
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Legal Business Name | GOTHAM DIAGNOSTIC IMAGING, P. C.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1915 CENTRAL PARK AVE
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City | YONKERS
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State | NY
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Zip | 10710-2949
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Country | US
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Telephone | 914-961-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 CENTRAL PARK AVE
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City | YONKERS
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State | NY
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Zip | 10710-2949
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Country | US
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Telephone | 914-961-1777
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR OWNER
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Name | MICHAEL BARRY SINGER
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Credential | MD
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Telephone | 914-961-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 58047
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License Number State | NY
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