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General NPI Number Information
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NPI Number | 1962542381
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Entity Type | Organization
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Legal Business Name | DYNAMIC MEDICAL IMAGING, PC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7336 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-1531
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Country | US
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Telephone | 718-507-8184
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Fax | 718-507-8185
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Provider Business Mailing Address
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Address Line | 8 LINDA LN
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3024
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Country | US
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Telephone | 908-687-2552
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Fax | 908-687-6556
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN PAUL BROWNSTEIN
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Credential | M.D.
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Telephone | 718-507-8184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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