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Organization
SOPHISTICATED IMAGING INC
Active
Organization
SOPHISTICATED IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEA KAGANOVICH (DIRECTOR)
(917) 862-0406
Entity
Organization
Contact information
Practice address
9020 5TH AVE, SUITE A, BROOKLYN, NY 11209-5908
(917) 421-9808
Mailing address
1230 AVENUE Y, APT A8, BROOKLYN, NY 11235-4271
(917) 862-0406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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