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General NPI Number Information
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NPI Number | 1194520692
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL & DENTAL CARE INC/ INFINITY
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 100 ROUTE 59 STE 105
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City | SUFFERN
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State | NY
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Zip | 10901-4927
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Country | US
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Telephone | 845-770-1977
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Fax | 845-503-2298
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Provider Business Mailing Address
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Address Line | 40 ROBERT PITT DR
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City | MONSEY
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State | NY
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Zip | 10952-3333
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Country | US
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Telephone | 845-770-1977
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Fax | 845-503-2298
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MENDEL HOFFMAN
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Credential |
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Telephone | 845-352-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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