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General NPI Number Information
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NPI Number | 1821510405
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Entity Type | Organization
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Legal Business Name | PHYSICIANS IMAGING OF ROCKVILLE CENTRE, PLLC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1000 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1000
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Country | US
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Telephone | 865-766-8815
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3357
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3357
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Country | US
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Telephone | 866-250-3375
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT J SHERMAN
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Credential | MD
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Telephone | 516-562-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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