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General NPI Number Information
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NPI Number | 1417982539
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Entity Type | Organization
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Legal Business Name | VERRAZANO RADIOLOGY ASOCIATES, PC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 256 MASON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3408
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Country | US
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Telephone | 718-667-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 256 MASON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3408
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Country | US
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Telephone | 718-667-4700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHALOM S BUCHBINDER
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Credential | M.D.
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Telephone | 718-568-2733
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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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