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General NPI Number Information
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NPI Number | 1205209343
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE ASSOCIATES OF YONKERS, P.C.
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 147 PARK AVE
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City | YONKERS
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State | NY
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Zip | 10703-2937
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Country | US
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Telephone | 914-375-4433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 724
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City | ARDSLEY
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State | NY
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Zip | 10502-0724
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Country | US
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Telephone | 914-375-4433
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. LUAY MARJI
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Credential | MD
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Telephone | 914-375-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NY
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