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General NPI Number Information
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NPI Number | 1255123832
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Entity Type | Organization
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Legal Business Name | HASC DIAGNOSTIC & TREATMENT CENTER, INC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 361 PARKSVILLE RD
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City | PARKSVILLE
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State | NY
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Zip | 12768-4004
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Country | US
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Telephone | 718-745-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 1ST AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-2517
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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 | CEO
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Name | MR. TZVI A KAHN
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Credential |
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Telephone | 718-942-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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