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General NPI Number Information
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NPI Number | 1245285774
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Entity Type | Organization
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Legal Business Name | NY UNITED HEALTHCARE,LTD
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 445 KINGS HWY 2 FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11223-1780
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Country | US
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Telephone | 718-375-6001
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Fax | 718-375-6177
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Provider Business Mailing Address
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Address Line | 445 KINGS HIGHWAY 2 FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11223
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Country | US
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Telephone | 718-375-6001
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Fax | 718-375-6177
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ELINA SHULMAN
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Credential |
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Telephone | 718-375-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 237360
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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