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General NPI Number Information
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NPI Number | 1043597263
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE NYC P.C.
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 150 BROADWAY SUITE 1702
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City | NEW YORK
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State | NY
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Zip | 10038-4381
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Country | US
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Telephone | 917-721-6120
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Fax | 917-720-9037
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Provider Business Mailing Address
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Address Line | 233 BAY RIDGE PKWY 3A
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City | BROOKLYN
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State | NY
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Zip | 11209-2403
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Country | US
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Telephone | 917-409-7575
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Fax | 212-720-9037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVA GALSTIAN
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Credential | DO
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Telephone | 917-409-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 254838
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License Number State | NY
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