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General NPI Number Information
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NPI Number | 1275020315
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Entity Type | Organization
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Legal Business Name | CLARKSTOWN MEDICAL CARE P.C.
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Dates
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Enumeration Date | 04/14/2018
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Last Update Date | 04/14/2018
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Provider Practice Location Address
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Address Line | 301 N MAIN ST STE 2
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City | NEW CITY
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State | NY
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Zip | 10956-4021
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Country | US
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Telephone | 845-638-0400
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Fax | 845-638-1193
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Provider Business Mailing Address
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Address Line | 301 N MAIN ST STE 2
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City | NEW CITY
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State | NY
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Zip | 10956-4021
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Country | US
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Telephone | 845-638-0400
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Fax | 845-638-1193
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES SAYEGH
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Credential | MD
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Telephone | 845-638-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 291978
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License Number State | NY
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