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General NPI Number Information
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NPI Number | 1558072041
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Entity Type | Organization
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Legal Business Name | DR NEELOFAR GHAZNAWI MD PC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 14846 HILLSIDE AVENUE UNIT RTL
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City | JAMAICA
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State | NY
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Zip | 11435
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Country | US
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Telephone | 718-458-0086
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Fax | 718-458-0091
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Provider Business Mailing Address
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Address Line | 8626 QUEENS BLVD
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City | ELMHURST
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State | NY
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Zip | 11373-4428
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Country | US
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Telephone | 718-458-0086
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Fax | 718-458-0091
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEELOFAR GHAZNAWI
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Credential | MD
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Telephone | 516-641-7691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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