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General NPI Number Information
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NPI Number | 1609323351
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Entity Type | Organization
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Legal Business Name | ONE ON ONE MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 43 BROADWAY AVE
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City | SAYVILLE
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State | NY
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Zip | 11782-1601
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Country | US
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Telephone | 631-603-3770
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Fax | 631-251-7020
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Provider Business Mailing Address
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Address Line | 43 BROADWAY AVE
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City | SAYVILLE
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State | NY
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Zip | 11782-1601
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Country | US
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Telephone | 631-603-3770
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Fax | 631-251-7020
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY NICHOLAS DONATELLI JR.
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Credential | MD
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Telephone | 631-603-3770
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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 | 167827
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License Number State | NY
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