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General NPI Number Information
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NPI Number | 1306922505
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Entity Type | Organization
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Legal Business Name | WOODHULL MEDICAL CENTER
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 760 BROADWAY WOODHULL MEDICAL GROUP
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City | BROOKLYN
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State | NY
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Zip | 11206
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Country | US
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Telephone | 718-963-5984
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Fax | 718-630-3135
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Provider Business Mailing Address
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Address Line | 372 ELM DR
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City | ROSLYN
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State | NY
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Zip | 11576-3013
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Country | US
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Telephone | 718-963-5984
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Fax | 718-630-3135
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. PIERE J FELIX
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Credential | M.D
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Telephone | 718-963-8615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001525
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License Number State | NY
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