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General NPI Number Information
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NPI Number | 1497827042
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Entity Type | Organization
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Legal Business Name | NUCLEAR CARDIOLOGY SERVICES OF NORTHERN WESTCHESTER
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-666-1016
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Fax | 914-666-1108
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Provider Business Mailing Address
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Address Line | 400 E MAIN ST
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-649-2816
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Fax | 914-666-1108
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER MERCURIO
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Credential | M.D.
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Telephone | 914-649-2816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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