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General NPI Number Information
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NPI Number | 1265529770
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Entity Type | Organization
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Legal Business Name | BAY MEDICAL PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2273 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-4001
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Country | US
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Telephone | 718-236-4970
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Fax | 718-236-5274
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Provider Business Mailing Address
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Address Line | 2273 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-4001
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Country | US
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Telephone |
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Fax | 718-236-5274
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Authorized Official
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Title or Position | OFFICE
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Name | RAMY HANNA
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Credential | MD
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Telephone | 718-236-4970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 212806
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License Number State | NY
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