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General NPI Number Information
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NPI Number | 1225224033
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Entity Type | Organization
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Legal Business Name | FRIENDLY ANESTHESIA PC
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Dates
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Enumeration Date | 09/15/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 2935 ROCKAWAY AVE
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City | OCEANSIDE
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State | NY
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Zip | 11572-1844
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Country | US
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Telephone | 516-536-2377
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Fax | 516-536-2377
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Provider Business Mailing Address
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Address Line | 2935 ROCKAWAY AVE
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City | OCEANSIDE
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State | NY
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Zip | 11572-1844
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Country | US
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Telephone | 516-536-2377
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Fax | 516-536-2377
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LILYA GARBER
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Credential | M.D.
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Telephone | 516-536-2377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 222944
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License Number State | NY
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