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General NPI Number Information
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NPI Number | 1710861331
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Entity Type | Organization
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Legal Business Name | ONSITE RADIOLOGY PC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 409 ROCKAWAY AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-5635
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Country | US
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Telephone | 347-729-9933
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Fax | 347-726-9888
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Provider Business Mailing Address
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Address Line | 409 ROCKAWAY AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-5635
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Country | US
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Telephone | 347-729-9933
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Fax | 347-726-9888
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | DR. LEON MICHAEL NOVAK
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Credential | MD
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Telephone | 347-729-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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