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Organization
ECLIPSE MEDICAL IMAGING PC
Active
Organization
ECLIPSE MEDICAL IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK L BALDASAR M.D. (PRESIDENT)
(718) 284-0700
Entity
Organization
Contact information
Practice address
651 CONEY ISLAND AVE, BROOKLYN, NY 11218-4379
(718) 284-0700
(718) 284-0800
Mailing address
651 CONEY ISLAND AVE, BROOKLYN, NY 11218-4379
(718) 284-0700
(718) 284-0800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
124001-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864307
—
NY
Enumeration date
01/23/2017
Last updated
01/23/2017
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