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General NPI Number Information
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NPI Number | 1053786897
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Entity Type | Organization
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Legal Business Name | RAMSAMMY MEDICAL PC
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 8 JAREDS PATH
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City | BROOKHAVEN
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State | NY
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Zip | 11719-9437
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Country | US
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Telephone | 516-474-5356
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Fax |
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Provider Business Mailing Address
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Address Line | 8 JAREDS PATH
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City | BROOKHAVEN
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State | NY
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Zip | 11719-9437
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Country | US
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Telephone | 516-474-5356
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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. LESLIE S RAMSAMMY
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Credential | MD
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Telephone | 516-474-5356
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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 | 249334
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License Number State | NY
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