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General NPI Number Information
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NPI Number | 1073560140
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Entity Type | Organization
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Legal Business Name | CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 1601 AVE NYCDOHMH HOMECREST DHC
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City | BROOKLYN
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State | NY
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Zip | 11229-2920
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Country | US
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Telephone | 718-336-2553
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Fax | 718-336-6985
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Provider Business Mailing Address
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Address Line | 42-09 28TH STREET CN-48
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4132
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Country | US
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Telephone | 347-396-6234
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Fax | 347-396-6366
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | MARITZA GIRALDO
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Credential |
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Telephone | 347-396-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 002475761340
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License Number State | NY
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