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General NPI Number Information
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NPI Number | 1629244348
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Entity Type | Organization
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Legal Business Name | S J CONTRISTANO MD PC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 2462 FLATBUSH AVE SUITE 2
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City | BROOKLYN
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State | NY
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Zip | 11234-5000
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Country | US
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Telephone | 718-252-4414
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Fax | 718-377-1850
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Provider Business Mailing Address
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Address Line | 1520 YORK AVE APT. 31D
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City | NEW YORK
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State | NY
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Zip | 10028-7008
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Country | US
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Telephone | 718-252-4414
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Fax | 718-377-1850
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVATORE J CONTRISTANO
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Credential | M.D.
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Telephone | 718-252-4414
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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 | 099572
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License Number State | NY
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