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General NPI Number Information
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NPI Number | 1023513033
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Entity Type | Individual
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Provider Name | OMID SANAEI MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 14015 SANFORD AVE FL 1
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City | FLUSHING
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State | NY
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Zip | 11355-2686
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Country | US
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Telephone | 718-670-6400
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Fax | 718-663-5008
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Provider Business Mailing Address
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Address Line | 55 WATER ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10041-0010
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Country | US
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Telephone | 646-680-2888
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Fax | 516-542-5556
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 333998
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License Number State | NY
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