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General NPI Number Information
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NPI Number | 1669707352
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Entity Type | Organization
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Legal Business Name | PRESICION MEDICAL DIAGNOSTICS OF NY, PC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 306 ARMSTRONG AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3149
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Country | US
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Telephone | 718-967-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 E 16TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-3522
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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 | PRESIDENT
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Name | DR. VICTORIA TSINBERG
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Credential | M.D.
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Telephone | 718-967-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 208776
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 208776
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License Number State | NY
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