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General NPI Number Information
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NPI Number | 1518135730
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Entity Type | Organization
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Legal Business Name | BNYLAB.COM, INC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 2882 W 15TH ST
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City | BROOKLYN
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State | NY
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Zip | 11224-2602
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Country | US
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Telephone | 718-766-8883
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Fax | 775-305-4723
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Provider Business Mailing Address
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Address Line | 2882 W 15TH ST
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City | BROOKLYN
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State | NY
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Zip | 11224-2602
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Country | US
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Telephone | 718-766-8883
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Fax | 775-305-4723
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EUGENE PASECHNIK
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Credential |
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Telephone | 718-766-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | PENDING
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License Number State | NY
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