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General NPI Number Information
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NPI Number | 1306006846
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Entity Type | Individual
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Provider Name | EVGENY FINK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 3044 CONEY ISLAND AVE SUITE 201
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City | BROOKLYN
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State | NY
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Zip | 11235-5660
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Country | US
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Telephone | 646-442-4596
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Fax | 718-616-1241
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Provider Business Mailing Address
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Address Line | 2617 E 17TH ST APT.4F
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City | BROOKLYN
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State | NY
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Zip | 11235-3825
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Country | US
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Telephone | 347-404-2413
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 255017
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License Number State | NY
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