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General NPI Number Information
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NPI Number | 1265001838
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE GASTROINTESTINAL AND MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 14 WALL ST FL 20
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City | NEW YORK
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State | NY
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Zip | 10005-2123
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Country | US
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Telephone | 347-298-4100
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Fax | 347-227-1368
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Provider Business Mailing Address
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Address Line | 166 E 88TH ST STE 1
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City | NEW YORK
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State | NY
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Zip | 10128-2255
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Country | US
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Telephone | 212-410-3350
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Fax |
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | DR. WILLIAM PULLANO
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Credential | MD
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Telephone | 212-410-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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