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General NPI Number Information
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NPI Number | 1134818842
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY HEALTH NP, P.C.
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 750 VETERANS MEMORIAL HIGHWAY SUITE 205
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2943
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Country | US
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Telephone | 718-801-6318
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Fax | 718-798-0988
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Provider Business Mailing Address
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Address Line | PO BOX 30114
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City | STATEN ISLAND
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State | NY
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Zip | 10303-0114
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Country | US
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Telephone | 718-801-6318
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Fax | 718-798-0988
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Authorized Official
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Title or Position | OWNER
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Name | MARK JESSE SCHWARTZ
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Credential |
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Telephone | 718-801-6318
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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 |
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License Number State |
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