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General NPI Number Information
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NPI Number | 1538286190
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Entity Type | Organization
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Legal Business Name | ROCKLAND NY MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 20 SQUADRON BLVD SUITE 550
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City | NEW CITY
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State | NY
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Zip | 10956
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Country | US
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Telephone | 845-634-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SQUADRON BLVD SUITE 550
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City | NEW CITY
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State | NY
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Zip | 10956
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Country | US
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Telephone | 845-634-8800
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | YANINA KOTLYAR
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Credential | M.D.
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Telephone | 845-634-8800
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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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