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General NPI Number Information
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NPI Number | 1255305900
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Entity Type | Organization
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Legal Business Name | SOUTHERN WESTCHESTER DIABETES, PC
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 226 W 238TH ST # A
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City | BRONX
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State | NY
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Zip | 10463-2423
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Country | US
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Telephone | 718-601-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 226 W 238TH ST # A
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City | BRONX
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State | NY
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Zip | 10463-2423
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Country | US
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Telephone | 718-601-3300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NADEM JAMIL SAYEGH
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Credential | M.D.
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Telephone | 718-601-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 195964
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License Number State | NY
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