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General NPI Number Information
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NPI Number | 1508086745
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Entity Type | Organization
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Legal Business Name | RICHMOND RADIOLOGY, P.C.
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 2025 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3915
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Country | US
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Telephone | 718-494-0800
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Fax | 718-494-4066
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Provider Business Mailing Address
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Address Line | 2025 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3915
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Country | US
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Telephone | 718-494-0800
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Fax | 718-494-4066
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVE LOSIK
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Credential | M.D.
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Telephone | 718-494-0800
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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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