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General NPI Number Information
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NPI Number | 1134230592
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Entity Type | Organization
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Legal Business Name | NEW YORK CARDIOLOGY PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 10706 LIBERTY AVE
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City | OZONE PARK
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State | NY
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Zip | 11417-1813
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Country | US
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Telephone | 718-323-2229
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Fax | 718-323-6811
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Provider Business Mailing Address
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Address Line | 801 SOUTHGATE DR
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3513
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Country | US
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Telephone | 718-323-2229
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Fax | 718-323-6811
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Authorized Official
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Title or Position | OWNER
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Name | GHANSHYAM BHAMBHANI
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Credential | MD
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Telephone | 718-323-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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