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General NPI Number Information
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NPI Number | 1366914483
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Entity Type | Organization
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Legal Business Name | STAR VEINS CENTERS PC
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 225 W 35TH ST FRNT 2
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City | NEW YORK
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State | NY
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Zip | 10001-1904
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Country | US
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Telephone | 917-574-1243
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 IRIS PL
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City | WESTBURY
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State | NY
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Zip | 11590-5610
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Country | US
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Telephone | 917-574-1243
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | GULSHAN SETHI
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Credential |
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Telephone | 917-574-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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