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General NPI Number Information
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NPI Number | 1144975947
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Entity Type | Organization
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Legal Business Name | SARAH SIU MD PLLC
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 5318 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-3121
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Country | US
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Telephone | 212-858-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 270 1ST AVE APT 11E
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City | NEW YORK
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State | NY
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Zip | 10009-2626
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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 | CHIEF EXECUTIVE MEMBER
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Name | SARAH SIU
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Credential | MD
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Telephone | 917-612-5053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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