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General NPI Number Information
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NPI Number | 1720291693
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC ASSOCIATES OF MANHASSET MRI
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 NORTHERN BOULEVARD SUITE 300
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-627-8717
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Fax | 516-365-1634
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Provider Business Mailing Address
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Address Line | 600 NORTHERN BOULEVARD SUITE 300
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-627-8717
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Fax | 516-365-1634
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Authorized Official
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Title or Position | TREASURER
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Name | BRUCE A SEIDEMAN
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Credential | MD
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Telephone | 516-627-8717
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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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