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Organization
NEW YORK PRIVATE MEDICAL IMAGING PRACTICE, PLLC
Active
Organization
NEW YORK PRIVATE MEDICAL IMAGING PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SPAMER (VP OF OPERATIONS)
(212) 772-7637
Entity
Organization
Contact information
Practice address
106 E 61ST ST, NEW YORK, NY 10065-8102
(212) 772-7637
(212) 288-1852
Mailing address
106 E 61ST ST, NEW YORK, NY 10065-8102
(212) 772-7637
(212) 288-1852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000024
MEDICARE (NY)
NY
Enumeration date
02/26/2008
Last updated
06/25/2020
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