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General NPI Number Information
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NPI Number | 1124936794
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Entity Type | Organization
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Legal Business Name | ALBERT BARAVARIAN M.D., PC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 3741 77TH ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6629
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Country | US
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Telephone | 516-510-5067
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Fax |
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Provider Business Mailing Address
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Address Line | 146 STRATFORD N
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT BARAVARIAN
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Credential |
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Telephone | 516-510-5067
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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