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General NPI Number Information
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NPI Number | 1457696635
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Entity Type | Organization
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Legal Business Name | BKA WOMEN'S HEALTH CARE P.C
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 157 E 72ND ST
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City | NEW YORK
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State | NY
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Zip | 10021-4331
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Country | US
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Telephone | 888-665-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LAYSBETH CT
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-4403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LONNY SORKIN
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Credential | M.D.
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Telephone | 718-490-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 219064
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License Number State | NY
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