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Organization
ROSDO
Active
Organization
ROSDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIA DOCHIM (DIRECTOR)
(212) 666-3533
Entity
Organization
Contact information
Practice address
2364 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-3640
(212) 666-3533
(212) 666-3535
Mailing address
2364 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-3640
(212) 666-3533
(212) 666-3535
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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