Individual
MR. SABAL THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADIOLOGIC TECH
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
50 SWEETFIELD CIR, YONKERS, NY 10704-2650
(914) 954-7670
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
908534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
908534
NYS DEPARTMENT OF HEALTH LICENSED
NY
Enumeration date
10/02/2006
Last updated
08/01/2008
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