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General NPI Number Information
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NPI Number | 1326051400
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Entity Type | Individual
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Provider Name | MAYA GOLBRAYKH M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 7031 108TH ST SUITE 10
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City | FOREST HILLS
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State | NY
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Zip | 11375-4424
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Country | US
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Telephone | 718-575-2200
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Fax | 718-575-2206
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Provider Business Mailing Address
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Address Line | 7031 108TH STREET SUITE 10
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City | FOREST HILLS
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State | NY
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Zip | 11375-4455
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Country | US
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Telephone | 718-575-2200
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Fax | 718-575-2206
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 240658
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 240658
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License Number State | NY
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