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General NPI Number Information
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NPI Number | 1881620367
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Entity Type | Organization
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Legal Business Name | BROOKHAVEN WOMEN'S IMAGING SERVICES
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 285 SILLS RD BUILDING 5-6
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-654-7100
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Fax | 631-687-2928
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | BABYLON
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State | NY
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Zip | 11702-0189
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Country | US
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Telephone | 631-321-8043
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Fax | 631-321-4235
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH SCHWARTZ
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Credential | M.D.
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Telephone | 631-654-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging 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 | 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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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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