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General NPI Number Information
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NPI Number | 1386952109
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Entity Type | Organization
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Legal Business Name | MIDTOWN DIAGNOSTICS INC.
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 110 W 34TH ST SUITE 406
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City | NEW YORK
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State | NY
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Zip | 10001-2115
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Country | US
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Telephone | 212-563-3730
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Fax | 212-760-6383
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Provider Business Mailing Address
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Address Line | 110 W 34TH ST SUITE 406
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City | NEW YORK
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State | NY
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Zip | 10001-2115
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Country | US
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Telephone | 212-563-3730
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Fax | 212-760-6383
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINCENT R VASILE
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Credential |
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Telephone | 212-563-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 004800-01
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License Number State | NY
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