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General NPI Number Information
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NPI Number | 1487929519
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Entity Type | Organization
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Legal Business Name | HEALTH POINT MEDICAL PC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 3065 BRIGHTON 7TH ST 2ND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-6414
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Country | US
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Telephone | 718-576-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 E 19TH ST APT 2K
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City | BROOKLYN
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State | NY
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Zip | 11235-3350
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Country | US
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Telephone | 718-576-2012
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRINA KORNEEVA
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Credential | MD
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Telephone | 718-576-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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