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General NPI Number Information
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NPI Number | 1023980489
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Entity Type | Organization
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Legal Business Name | AZURE MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2691 HYLAN BLVD STE 4
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4300
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Country | US
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Telephone | 347-517-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 FILLMORE AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-4733
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Country | US
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Telephone | 347-517-9584
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HANZEL A FRIDAY
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Credential | MD
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Telephone | 347-517-9584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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