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General NPI Number Information
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NPI Number | 1366945339
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Entity Type | Organization
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Legal Business Name | NODAR JANAS MD PC
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3501 202ND ST
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City | BAYSIDE
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State | NY
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Zip | 11361-1117
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Country | US
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Telephone | 516-643-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WESTWOOD CIR
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1823
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Country | US
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Telephone | 516-643-2513
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. NODAR JANAS
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Credential | MD
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Telephone | 718-454-4356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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