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General NPI Number Information
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NPI Number | 1366906653
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Entity Type | Organization
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Legal Business Name | GREATER NEW YORK CARE INC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 4235 MAIN ST STE 2E
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City | FLUSHING
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State | NY
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Zip | 11355-3958
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Country | US
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Telephone | 917-299-7486
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Fax | 888-317-4741
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Provider Business Mailing Address
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Address Line | 8261 166TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1820
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Country | US
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Telephone | 917-299-4786
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KEPING DU
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Credential |
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Telephone | 917-299-7486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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