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General NPI Number Information
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NPI Number | 1497637987
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Entity Type | Organization
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Legal Business Name | KINGS MEDICAL SERVICES PC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 249 N 5TH ST
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City | BROOKLYN
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State | NY
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Zip | 11211-9208
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Country | US
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Telephone | 914-863-1908
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Fax | 855-835-5657
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Provider Business Mailing Address
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Address Line | 149 DUPONT ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11222-1167
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Country | US
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Telephone | 914-863-1908
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Fax | 855-835-5857
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Authorized Official
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Title or Position | CEO
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Name | ELEONORA WALCZAK
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Credential | PA
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Telephone | 855-682-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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