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General NPI Number Information
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NPI Number | 1326158395
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Entity Type | Organization
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Legal Business Name | MCLEAN HEIGHTS MEDICAL PROFESSIONALS PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 750 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3842
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Country | US
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Telephone | 914-803-0310
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Fax | 914-803-0349
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Provider Business Mailing Address
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Address Line | 750 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3842
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Country | US
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Telephone | 914-803-0310
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Fax | 914-803-0349
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | INGRID COLON
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Credential |
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Telephone | 914-803-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 193986
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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