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General NPI Number Information
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NPI Number | 1265256697
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Entity Type | Organization
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Legal Business Name | NORTHEAST MEDICAL SERVICES PC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 9711 3RD AVE 2ND FL
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 929-265-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 9711 3RD AVE 2ND FL
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 929-265-2966
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SALAH ELDIN MOHAMED
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Credential | MD
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Telephone | 347-205-0557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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