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General NPI Number Information
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NPI Number | 1487055166
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL RADIOLOGY, PC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 200 W 57TH ST SUITE 407
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City | NEW YORK
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State | NY
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Zip | 10019-3211
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Country | US
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Telephone | 347-533-2034
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Fax |
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Provider Business Mailing Address
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Address Line | 280 PARK AVE S 19A
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City | NEW YORK
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State | NY
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Zip | 10010-6121
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES ERIC SILBERZWEIG
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Credential | M.D.
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Telephone | 347-533-2034
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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 | 182668
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License Number State | NY
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