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General NPI Number Information
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NPI Number | 1609236637
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Entity Type | Organization
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Legal Business Name | BOROUGH HEART & VASCULAR CARE P.C
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 2020 CORTELYOU RD
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City | BROOKLYN
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State | NY
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Zip | 11226-5904
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Country | US
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Telephone | 718-689-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 720 RUGBY RD
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City | BROOKLYN
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State | NY
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Zip | 11230-2410
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Country | US
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Telephone | 718-419-1065
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | ABDULLAH KHAN
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Credential | M.D
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Telephone | 718-419-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 260304
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License Number State | NY
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