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General NPI Number Information
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NPI Number | 1114222502
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Entity Type | Organization
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Legal Business Name | CARY DANIEL MD, PC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 86 EAST 49TH STREET BLUMBERG, SUITE B
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-604-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 493 N BROOKSIDE AVE
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City | FREEPORT
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State | NY
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Zip | 11520-1007
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Country | US
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Telephone | 516-503-2693
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARY DANIEL
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Credential | MD
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Telephone | 516-503-2693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 251085
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License Number State | NY
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