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General NPI Number Information
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NPI Number | 1598936098
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Entity Type | Organization
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Legal Business Name | HEIGHTS PHYSICIAN MEDICAL CARE P.C
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 616 W 184TH ST
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City | NEW YORK
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State | NY
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Zip | 10033-3908
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Country | US
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Telephone | 212-927-5200
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Fax | 212-568-2765
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Provider Business Mailing Address
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Address Line | 7 CECELIA AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-2705
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Country | US
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Telephone | 201-943-3938
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Fax | 201-941-5319
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DILIA M CASTANOS
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Credential |
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Telephone | 212-927-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 129598
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License Number State | NY
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