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General NPI Number Information
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NPI Number | 1497113989
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Entity Type | Organization
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Legal Business Name | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 2000 N VILLAGE AVE SUITE 306
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1078
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Country | US
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Telephone | 516-678-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD SUITE 204
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City | BETHPAGE
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State | NY
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Zip | 11714-3471
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Country | US
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Telephone | 516-678-2232
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | MARC S ADLER
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Credential | M.D.
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Telephone | 516-663-3849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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