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General NPI Number Information
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NPI Number | 1902973936
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Entity Type | Organization
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Legal Business Name | STATEN ISLAND HEART IMAGING PC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2248 RICHMOND ROAD
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-0500
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Fax | 718-980-3666
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Provider Business Mailing Address
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Address Line | 2248 RICHMOND ROAD
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-0500
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Fax | 718-980-3666
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. JAMSHED IQBAL WYNE
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Credential | MD
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Telephone | 718-351-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 205370
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License Number State | NY
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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 | 144419
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 172463
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License Number State | NY
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