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General NPI Number Information
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NPI Number | 1154426229
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Entity Type | Individual
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Provider Name | WILLIAM ANTHONY FLORIO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 8502 67TH AVE
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City | REGO PARK
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State | NY
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Zip | 11374-5214
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Country | US
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Telephone | 917-273-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 12 DOGWOOD LN
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City | WESTON
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State | CT
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Zip | 06883-1904
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Country | US
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Telephone | 917-273-2997
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 128182
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License Number State | NY
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