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General NPI Number Information
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NPI Number | 1114220415
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Entity Type | Organization
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Legal Business Name | MARTIN SIGMAN OD, PLLC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 271 10 UNION TURNPIKE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1532
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Country | US
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Telephone | 718-962-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 271-10 UNION TURNPIKE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1532
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Country | US
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Telephone | 718-962-3040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARTIN SIGMAN
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Credential | O.D.
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Telephone | 718-962-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV004189-1
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License Number State | NY
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