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General NPI Number Information
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NPI Number | 1164183422
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Entity Type | Organization
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Legal Business Name | ABHISHEK AGARWAL DO PLLC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 14310 20TH AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-3046
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Country | US
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Telephone | 718-961-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 47TH AVE STE 3100
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-3050
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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 | OWNER, AUTHORIZED OFFICIAL
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Name | ABHISHEK AGARWAL
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Credential | DO
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Telephone | 518-545-4753
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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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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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