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NPI Profile for Dr IAN R WHITESIDE in PORT JEFFERSON, NY.
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Body Imaging |
2085B0100X | |||
Diagnostic Ultrasound |
2085U0001X |
| NPI Number | 1437560430 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/13/2014 | |
| Last updated | 07/24/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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IAN R WHITESIDE
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IAN R WHITESIDE, MD