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General NPI Number Information
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NPI Number | 1477365070
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Entity Type | Organization
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Legal Business Name | LONG ISLAND MRI PC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1570 OLD COUNTRY RD
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City | WESTBURY
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State | NY
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Zip | 11590-5238
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Country | US
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Telephone | 516-559-7771
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Fax | 516-345-4476
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Provider Business Mailing Address
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Address Line | 1570 OLD COUNTRY RD
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City | WESTBURY
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State | NY
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Zip | 11590-5238
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Country | US
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Telephone | 516-559-7771
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Fax | 516-345-4476
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD LANDAU
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Credential | MD
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Telephone | 561-901-0326
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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 |
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License Number State |
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