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General NPI Number Information
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NPI Number | 1265786990
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Entity Type | Individual
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Provider Name | ABHISHEK PANDEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 1302 NEW YORK AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-5508
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Country | US
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Telephone | 347-559-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 92 GREENWAY DR
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City | STATEN ISLAND
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State | NY
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Zip | 10301-3366
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Country | US
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Telephone | 718-287-5337
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Fax | 718-703-9244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 293427
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | MD469969
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License Number State | PA
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