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General NPI Number Information
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NPI Number | 1437385663
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Entity Type | Organization
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Legal Business Name | TRAVEL MEDICINE CONSULTANTS OF LONG ISLAND, PC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 44 S BAYLES AVE SUITE 216
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3765
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Country | US
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Telephone | 516-767-7771
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Fax | 516-767-7765
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Provider Business Mailing Address
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Address Line | 44 S BAYLES AVE SUITE 216
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3765
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Country | US
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Telephone | 516-767-7771
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Fax | 516-767-7765
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID BRIEFF
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Credential | M.D.
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Telephone | 516-767-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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