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General NPI Number Information
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NPI Number | 1457568131
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Entity Type | Individual
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Provider Name | NAIRA AMBARIAN DO
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 150 55TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-2559
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Country | US
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Telephone | 718-470-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 107 NORTHERN BLVD STE 404
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City | GREAT NECK
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State | NY
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Zip | 11021-4312
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Country | US
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Telephone | 929-318-9281
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Fax | 347-556-4558
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 257030
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License Number State | NY
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