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General NPI Number Information
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NPI Number | 1740459593
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Entity Type | Organization
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Legal Business Name | NEW YORK PRIVATE MEDICAL IMAGING PRACTICE, PLLC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 106 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8102
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Country | US
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Telephone | 212-772-7637
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Fax | 212-288-1852
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Provider Business Mailing Address
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Address Line | 106 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8102
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Country | US
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Telephone | 212-772-7637
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Fax | 212-288-1852
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MR. DONOVAN SPAMER
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Credential |
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Telephone | 212-772-7637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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