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General NPI Number Information
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NPI Number | 1093127532
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Entity Type | Organization
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Legal Business Name | HILLSIDE MEDICAL CARE NYC PC
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 87 46 CHELSEA ST. SUITE LC
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-657-7900
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Fax | 718-657-7902
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Provider Business Mailing Address
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Address Line | 87 46 CHELSEA ST. SUITE LC
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-657-7900
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Fax | 718-657-7902
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Authorized Official
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Title or Position | INTERNIST
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Name | DR. FARZANA NIZAMI
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Credential | M.D.
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Telephone | 718-657-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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