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General NPI Number Information
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NPI Number | 1548308307
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Entity Type | Individual
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Provider Name | ISANDR DUMESH MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 20 OLD FARMERS LN
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1439
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Country | US
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Telephone | 917-449-0197
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Fax | 718-559-4723
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Provider Business Mailing Address
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Address Line | 1 ROCKWOOD RD
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1053
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Country | US
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Telephone | 914-846-3113
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 199872
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License Number State | NY
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