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NPI 1225036908

NPI 1225036908 : STONY POINT MEDICAL ASSOC. PLLC : STONY POINT, NY

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General NPI Number Information
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    NPI Number           |    1225036908
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    Entity Type          |    Organization 
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    Legal Business Name  |    STONY POINT MEDICAL ASSOC. PLLC 
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Dates
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    Enumeration Date     |    07/07/2005
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    6 LIBERTY SQUARE MALL 
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    City                 |    STONY POINT
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    State                |    NY
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    Zip                  |    10980-2400
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    Country              |    US
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    Telephone            |    845-786-5544
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    Fax                  |    845-786-5229
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Provider Business Mailing Address
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    Address Line         |    6 LIBERTY SQUARE MALL 
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    City                 |    STONY POINT
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    State                |    NY
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    Zip                  |    10980-2400
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    Country              |    US
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    Telephone            |    845-786-5544
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    Fax                  |    845-786-5229
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Authorized Official
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    Title or Position    |    DIRECTOR- OWNER
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    Name                 |     SUMAN K SAWHNEY 
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    Credential           |    MD
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    Telephone            |    845-786-5544
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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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