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General NPI Number Information
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NPI Number | 1902000755
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Entity Type | Organization
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Legal Business Name | NUCLEAR CARDIAC AND MEDICAL IMAGING SERVICES, PC
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 150 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8529
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Country | US
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Telephone | 212-644-0002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13126
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City | HAUPPAUGE
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State | NY
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Zip | 11788-0561
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Country | US
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Telephone | 631-231-0300
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Fax | 631-231-3331
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Authorized Official
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Title or Position | MEDICAL DIRECTOR OWNER
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Name | DR. EMMANUEL VARKARIS
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Credential | MD
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Telephone | 631-231-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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