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General NPI Number Information
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NPI Number | 1073411567
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Entity Type | Organization
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Legal Business Name | TSP MEDICAL, PLLC
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Dates
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Enumeration Date | 10/27/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 3010 41ST AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2804
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Country | US
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Telephone | 516-670-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 JERICHO TPKE # 1149
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4721
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARAK PATEL
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Credential | MD
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Telephone | 516-670-5541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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