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General NPI Number Information
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NPI Number | 1336111467
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Entity Type | Organization
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Legal Business Name | MARCEL M ADMONI
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 3457 82ND ST STE 1F NEXT GENERATION EYE CARE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2930
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Country | US
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Telephone | 718-446-8100
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Fax | 516-482-2336
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Provider Business Mailing Address
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Address Line | 54 RADNOR RD
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City | GREAT NECK
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State | NY
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Zip | 11023-1429
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Country | US
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Telephone | 516-482-5775
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Fax | 516-482-2336
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Authorized Official
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Title or Position | SOLE PROPRIETOR/SELF EMPLOYED
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Name | DR. MARCEL MORDECHAI ADMONI
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Credential | M.D.
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Telephone | 516-482-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 191748
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License Number State | NY
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