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General NPI Number Information
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NPI Number | 1326124306
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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 | 50 W34TH ST 16C1
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 646-898-7188
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W34TH ST 16C1
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORAL & MAXILLOFACIAL SURGERY PGY2
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Name | DR. BRANDON KANG
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Credential | DDS
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Telephone | 646-898-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 051829
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License Number State | NY
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