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General NPI Number Information
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NPI Number | 1497769798
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Entity Type | Organization
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Legal Business Name | METROPOLITAN RETINA ASSOCIATES P.C.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 2035 RALPH AVE SUITE A6
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City | BROOKLYN
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State | NY
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Zip | 11234-5300
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Country | US
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Telephone | 718-209-0101
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Fax | 718-209-0194
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Provider Business Mailing Address
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Address Line | 2035 RALPH AVE SUITE A6
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City | BROOKLYN
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State | NY
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Zip | 11234-5300
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Country | US
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Telephone | 718-209-0101
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Fax | 718-209-0194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH S FELDER
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Credential | M.D.
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Telephone | 718-209-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 131057
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License Number State | NY
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