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Organization
PREVENTIVE IDTF INC.
Active
Organization
PREVENTIVE IDTF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM TAUBER (COO)
(718) 388-3300
Entity
Organization
Contact information
Practice address
544 PARK AVE, 610, BROOKLYN, NY 11205-1600
(718) 388-3300
Mailing address
544 PARK AVE, 610, BROOKLYN, NY 11205-1600
(718) 388-3300
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2013
Last updated
11/21/2013
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