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General NPI Number Information
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NPI Number | 1417006032
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Entity Type | Organization
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Legal Business Name | NEW MEDICAL P.C.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8416 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-9020
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Country | US
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Telephone | 718-296-6900
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Fax | 718-296-7037
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Provider Business Mailing Address
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Address Line | 8416 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-1920
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Country | US
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Telephone | 718-296-6900
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Fax | 718-296-0737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE L. COLVIN
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Credential | D.O.
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Telephone | 718-296-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 088008-1
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License Number State | NY
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