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General NPI Number Information
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NPI Number | 1366039638
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Entity Type | Organization
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Legal Business Name | SINA MEDICAL ASSOCIATES LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 1735 N OCEAN AVE STE B
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City | MEDFORD
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State | NY
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Zip | 11763-2671
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Country | US
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Telephone | 631-627-6133
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 148TH ST
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City | FLUSHING
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State | NY
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Zip | 11354-1433
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Country | US
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Telephone | 646-760-4340
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Fax | 646-837-7485
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Authorized Official
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Title or Position | MD
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Name | ABUL KASHEM
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Credential |
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Telephone | 917-306-8073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number |
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License Number State |
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