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General NPI Number Information
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NPI Number | 1356570030
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICINE AND CARDIOLOGY PLLC
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 2920 HEMPSTEAD TPKE SUITE NUMBER 3
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City | LEVITTOWN
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State | NY
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Zip | 11756-1402
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Country | US
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Telephone | 516-850-1882
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Fax | 516-773-7371
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Provider Business Mailing Address
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Address Line | 35 STONER AVE
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City | GREAT NECK
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State | NY
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Zip | 11021-2152
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Country | US
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Telephone | 516-466-1376
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ISRAEL FREEMAN
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Credential | MD
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Telephone | 516-435-4388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 183024
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License Number State | NY
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