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General NPI Number Information
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NPI Number | 1386763688
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Entity Type | Organization
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Legal Business Name | COMMUNITY BURN &WOUND TREATMENT SERVICESPC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 500 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3403
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Country | US
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Telephone | 800-607-3514
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Fax | 718-226-6603
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Provider Business Mailing Address
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Address Line | 1 EDGEWATER ST 6TH FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4900
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Country | US
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Telephone | 718-226-1013
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Fax | 718-226-1039
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEROME FINKELSTEIN
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Credential | MD
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Telephone | 800-607-3514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NY
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