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General NPI Number Information
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NPI Number | 1316308406
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Entity Type | Organization
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Legal Business Name | INTERMED MEDICAL NY PC
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2329 NOSTRAND AVE STE 600
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City | BROOKLYN
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State | NY
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Zip | 11210-3948
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Country | US
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Telephone | 718-633-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 236 BROADWAY SUITE 211
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City | BROOKLYN
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State | NY
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Zip | 11211-8414
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Country | US
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Telephone | 718-633-2455
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Fax | 718-633-2466
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Authorized Official
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Title or Position | MD
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Name | FARZAD HAGHIGHI
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Credential | MD
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Telephone | 929-289-0597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 251936
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License Number State | NY
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