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General NPI Number Information
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NPI Number | 1346967239
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Entity Type | Organization
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Legal Business Name | MALHOTRA NEUROLOGY PC
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 11 RALPH PL STE 217
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4416
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Country | US
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Telephone | 347-602-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 11 RALPH PL STE 217
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4416
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Country | US
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Telephone | 347-602-9530
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHWIN MALHOTRA
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Credential | MD
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Telephone | 516-749-4678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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