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General NPI Number Information
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NPI Number | 1740700749
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Entity Type | Organization
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Legal Business Name | SJM RADIOLOGY, P.C.
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2 OVERHILL ROAD #400
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-220-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CROSSROADS CT
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City | NEWBURGH
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State | NY
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Zip | 12550-5064
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Country | US
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Telephone | 914-220-8300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN J MEYERSON
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Credential | MD
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Telephone | 201-760-9500
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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 |
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License Number State |
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Taxonomy #2
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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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