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General NPI Number Information
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NPI Number | 1689118747
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Entity Type | Organization
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Legal Business Name | SKY RADIOLOGY P.C.
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 21012 NORTHERN BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3240
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Country | US
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Telephone | 718-224-8800
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Fax | 718-224-8822
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Provider Business Mailing Address
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Address Line | 14015 HOLLY AVE GROUND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11355-3433
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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 | OWNER
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Name | DR. BRIJESH REDDY
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Credential |
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Telephone | 718-224-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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