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General NPI Number Information
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NPI Number | 1114152915
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Entity Type | Organization
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Legal Business Name | WESTBURY THERAPEUTIC MEDICAL SERVICES PC
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 265 POST AVE SUITE 116
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City | WESTBURY
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State | NY
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Zip | 11590-2233
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Country | US
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Telephone | 516-833-5627
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Fax | 516-833-5837
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Provider Business Mailing Address
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Address Line | 265 POST AVE SUITE 116
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City | WESTBURY
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State | NY
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Zip | 11590-2233
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Country | US
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Telephone | 516-833-5627
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Fax | 516-833-5837
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SOHAIL CHEEMA
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Credential | MD
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Telephone | 516-833-5627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 225686
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License Number State | NY
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