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General NPI Number Information
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NPI Number | 1568371565
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Entity Type | Organization
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Legal Business Name | DAVENPORT MEDICAL CARE NY PLLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 300 COMMUNITY DR
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City | MANHASSET
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State | NY
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Zip | 11030-3816
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Country | US
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Telephone | 516-674-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SHADY GLEN CT APT PH1
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-1821
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Country | US
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Telephone | 917-723-7777
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Fax |
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Authorized Official
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Title or Position | MD
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Name | BIJAN ZISMAN
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Credential |
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Telephone | 917-723-7777
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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 |
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License Number State |
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