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General NPI Number Information
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NPI Number | 1164673471
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Entity Type | Organization
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Legal Business Name | ALVIN D. HOLCOMB, MD P.C.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 100 W FARM DR
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City | MELVILLE
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State | NY
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Zip | 11747-4155
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Country | US
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Telephone | 631-277-1501
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Fax | 631-277-2798
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Provider Business Mailing Address
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Address Line | 56 RICHARD AVE
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City | ISLIP TERRACE
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State | NY
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Zip | 11752-2730
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Country | US
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Telephone | 631-277-1501
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Fax | 631-277-2798
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAUL L FINKELSTEIN
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Credential | C.P.C.
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Telephone | 631-371-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 191835
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License Number State | NY
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