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General NPI Number Information
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NPI Number | 1245639046
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Entity Type | Organization
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Legal Business Name | EVEREST MEDICAL, P.C.
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2091 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-2549
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Country | US
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Telephone | 646-873-0282
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Fax | 516-719-0477
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Provider Business Mailing Address
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Address Line | 55 MAYTIME DR
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City | JERICHO
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State | NY
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Zip | 11753-2233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALA-MAY PABILLO LUMIBAO
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Credential | M.D.
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Telephone | 718-293-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 249363
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License Number State | NY
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