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General NPI Number Information
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NPI Number | 1598820235
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Entity Type | Organization
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Legal Business Name | SHERMAN ABRAMS LABORATORY INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 63 FLUSHING AVE UNIT 292
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City | BROOKLYN
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State | NY
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Zip | 11205-1079
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Country | US
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Telephone | 718-435-7200
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Fax | 718-438-1788
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Provider Business Mailing Address
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Address Line | 63 FLUSHING AVE UNIT 292
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City | BROOKLYN
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State | NY
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Zip | 11205-1079
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Country | US
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Telephone | 718-435-7200
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Fax | 718-438-1788
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Authorized Official
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Title or Position | CEO
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Name | YAKOV LEYBOVICH
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Credential |
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Telephone | 718-435-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | PFI3534
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License Number State | NY
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