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General NPI Number Information
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NPI Number | 1063819639
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Entity Type | Organization
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Legal Business Name | MONTY MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 509 PLANDOME RD
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City | MANHASSET
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State | NY
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Zip | 11030-1966
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Country | US
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Telephone | 516-684-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 509 PLANDOME RD
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City | MANHASSET
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State | NY
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Zip | 11030-1966
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Country | US
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Telephone | 516-684-9094
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMA BILBOOL
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Credential | M.D
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Telephone | 516-684-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A200413-1
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License Number State | NY
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