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General NPI Number Information
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NPI Number | 1962603308
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Entity Type | Organization
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Legal Business Name | NEW YORK IMAGING CORPORATION
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 388 FORT HILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-2411
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Country | US
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Telephone | 917-991-8796
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Fax | 914-725-1139
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Provider Business Mailing Address
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Address Line | 388 FORT HILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-2411
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Country | US
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Telephone | 917-991-8796
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Fax | 914-725-1139
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Authorized Official
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Title or Position | ACCOUNT SPECIALIST
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Name | EDWARD AMOS
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Credential |
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Telephone | 845-363-4830
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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 | 273142RMD
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License Number State | NY
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