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General NPI Number Information
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NPI Number | 1477767663
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Entity Type | Organization
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Legal Business Name | RAYMOND J. PASTORE, M.D., P.C.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 282 N CORONA AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-4127
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Country | US
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Telephone | 516-872-0111
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Fax | 516-825-2415
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Provider Business Mailing Address
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Address Line | 282 N CORONA AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-4127
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Country | US
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Telephone | 516-872-0111
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Fax | 516-825-2415
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAYMOND J. PASTORE
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Credential | M.D.
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Telephone | 516-872-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 103104
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License Number State | NY
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