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General NPI Number Information
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NPI Number | 1508663154
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Entity Type | Organization
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Legal Business Name | ISLAND DAILY MEDICAL PLLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 201 MANOR PL
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City | GREENPORT
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State | NY
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Zip | 11944-1222
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Country | US
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Telephone | 833-843-3263
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Fax | 833-843-3263
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Provider Business Mailing Address
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Address Line | 25 JORDAN DR
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City | MEDFORD
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State | NY
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Zip | 11763-2050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SHAHZAD CHAUDHARY
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Credential | MD
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Telephone | 718-200-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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