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General NPI Number Information
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NPI Number | 1013173541
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Entity Type | Organization
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Legal Business Name | HARLEM MEDICAL CARE P.C.
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 2860 OCEAN AVE SUITE A1
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City | BROOKLYN
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State | NY
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Zip | 11235-3166
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Country | US
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Telephone | 718-753-2223
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Fax | 718-872-7509
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Provider Business Mailing Address
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Address Line | 2860 OCEAN AVE SUITE A1
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City | BROOKLYN
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State | NY
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Zip | 11235-3166
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Country | US
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Telephone | 718-753-2223
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Fax | 718-872-7509
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK MICHNIK
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Credential | M.D.
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Telephone | 917-907-2983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 236807
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 236807-1
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License Number State | NY
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