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General NPI Number Information
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NPI Number | 1134340870
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Entity Type | Organization
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Legal Business Name | KINGS POINT MEDICAL, PLLC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 MIDDLE NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11021-1125
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Country | US
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Telephone | 516-466-3311
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Fax | 516-466-9898
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Provider Business Mailing Address
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Address Line | 200 MIDDLE NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11021-1125
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Country | US
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Telephone | 516-466-3311
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Fax | 516-466-9898
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL BENILEVI
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Credential | M.D.
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Telephone | 516-466-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 232896
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License Number State | NY
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