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General NPI Number Information
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NPI Number | 1336317577
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Entity Type | Organization
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Legal Business Name | GERSHON NEY MD PLLC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 4518 LITTLE NECK PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-1427
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Country | US
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Telephone | 718-352-3370
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Fax | 718-352-3375
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Provider Business Mailing Address
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Address Line | 4518 LITTLE NECK PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-1427
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Country | US
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Telephone | 718-352-3370
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Fax | 718-352-3375
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Authorized Official
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Title or Position | SOLE PROPRIETOR/CHIEF MEDICAL OFFIC
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Name | DR. GERSHON C NEY
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Credential | MD
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Telephone | 718-352-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 183541
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License Number State | NY
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