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NPI 1477765881

NPI 1477765881 : MEDICAL CAREWORKS, P.C. : LONG BEACH, NY

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General NPI Number Information
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    NPI Number           |    1477765881
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL CAREWORKS, P.C. 
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Dates
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    Enumeration Date     |    05/06/2007
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    Last Update Date     |    10/05/2007
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Provider Practice Location Address
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    Address Line         |    606 W WALNUT ST 
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    City                 |    LONG BEACH
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    State                |    NY
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    Zip                  |    11561-2919
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    Country              |    US
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    Telephone            |    718-819-2920
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    606 W WALNUT ST 
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    City                 |    LONG BEACH
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    State                |    NY
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    Zip                  |    11561-2919
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    Country              |    US
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    Telephone            |    718-819-2920
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. RICHARD  BIRRER 
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    Credential           |    M.D.
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    Telephone            |    718-819-2920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    141209-1
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    License Number State |    NY
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