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General NPI Number Information
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NPI Number | 1558412668
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Entity Type | Organization
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Legal Business Name | MODERN PEDIATRICS OF GREAT NEW YORK, PC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 194 OCEAN PKWY FIRST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11218-2408
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Country | US
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Telephone | 718-853-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 194 OCEAN PKWY FIRST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11218-2408
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Country | US
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Telephone | 718-853-8249
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRY VICTOR BOND
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Credential |
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Telephone | 718-853-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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