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NPI 1487819926

NPI 1487819926 : NEW YORK NUCLEAR MEDICINE P.C. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1487819926
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW YORK NUCLEAR MEDICINE P.C. 
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Dates
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    Enumeration Date     |    07/24/2008
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    Last Update Date     |    07/24/2008
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Provider Practice Location Address
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    Address Line         |    2797 OCEAN PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7861
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    Country              |    US
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    Telephone            |    718-332-0087
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2797 OCEAN PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7861
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    Country              |    US
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    Telephone            |    718-332-0087
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. EMMANUEL I VARKARIS 
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    Credential           |    M.D.
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    Telephone            |    718-332-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207UN0901X
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    Taxonomy Name        |    Nuclear Cardiology Physician
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    License Number       |    225098
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    License Number State |    NY
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