# PREVENTIVE IDTF INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245674175
- **Authorized official:** MENACHEM TAUBER (COO)
- **Authorized official phone:** (718) 388-3300

## Contact information

- **Practice address:** 544 PARK AVE, 610, BROOKLYN, NY 11205-1600
- **Practice address phone:** (718) 388-3300
- **Mailing address:** 544 PARK AVE, 610, BROOKLYN, NY 11205-1600
- **Mailing address phone:** (718) 388-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 11/21/2013