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General NPI Number Information
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NPI Number | 1841483625
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Entity Type | Organization
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Legal Business Name | WESTCHESTER PET & MEDICAL IMAGING, PC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE SUITE 1200
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-347-3171
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Fax | 917-347-3172
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Provider Business Mailing Address
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Address Line | 19 BRADHURST AVE SUITE 1200
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-347-3171
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Fax | 917-347-3172
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Authorized Official
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Title or Position | PRESIDENT & TREASURER
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Name | DR. CHRISTOPHER RIEDL
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Credential | MD
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Telephone | 917-797-6644
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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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