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General NPI Number Information
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NPI Number | 1538981717
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Entity Type | Organization
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Legal Business Name | NYC MEDICALPRACTICE PC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1050 GALLOPING HILL RD STE 201
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City | UNION
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State | NJ
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Zip | 07083-7980
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Country | US
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Telephone | 855-699-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | NUTLEY
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State | NJ
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Zip | 07110-0070
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Country | US
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Telephone | 855-699-7246
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. NEESHA N MOHAMMED
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Credential |
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Telephone | 855-699-7246
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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 |
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License Number State |
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