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General NPI Number Information
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NPI Number | 1538803317
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Entity Type | Individual
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Provider Name | DILRUBA ISLAM MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 86-23 131 STREET
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City | RICHMOND HILL
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State | NY
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Zip | 11418
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Country | US
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Telephone | 718-916-6177
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 INDEPENDENCE AVE
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City | BRONX
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State | NY
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Zip | 10463-4620
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P114711
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P114711
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License Number State | NY
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