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General NPI Number Information
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NPI Number | 1013900935
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Entity Type | Individual
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Provider Name | JOSEPH SFERRAZZA MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 25910 HILLSIDE AVE SUITE L3
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City | FLORAL PARK
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State | NY
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Zip | 11004-1649
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Country | US
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Telephone | 718-343-8396
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Fax | 718-343-6746
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Provider Business Mailing Address
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Address Line | 235 POND VIEW DRIVE
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City | PORT WASHINGTON
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State | NY
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Zip | 11050
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Country | US
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Telephone | 516-944-5105
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Fax | 516-944-5105
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0822301
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License Number State | NY
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