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General NPI Number Information
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NPI Number | 1003710088
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Entity Type | Organization
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Legal Business Name | EMAN SOULTAN MEDICAL PC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1191 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-2408
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Country | US
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Telephone | 718-759-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 34 OCEAN CT
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4563
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Country | US
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Telephone | 718-759-1999
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | MELODY SALVADOR
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Credential |
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Telephone | 917-495-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State | NULL
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