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General NPI Number Information
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NPI Number | 1629041488
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Entity Type | Organization
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Legal Business Name | HEALTH INSURANCE PLAN OF GREATER NY
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4325 HUNTER ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4212
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Country | US
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Telephone | 718-786-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 HUNTER ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4212
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Country | US
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Telephone | 718-786-6376
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. MARC WOLFERT
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Credential |
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Telephone | 718-269-1627
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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 |
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License Number State |
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