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General NPI Number Information
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NPI Number | 1568609006
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Entity Type | Organization
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Legal Business Name | SHARMEEN SULTANA M.D. PLLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 1414 NEWKIRK AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-6522
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Country | US
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Telephone | 718-759-6015
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Fax |
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Provider Business Mailing Address
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Address Line | 253 80TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-3611
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Country | US
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Telephone | 718-759-6015
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARMEEN SULTANA
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Credential |
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Telephone | 917-520-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 226236
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License Number State | NY
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