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General NPI Number Information
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NPI Number | 1639591555
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Entity Type | Individual
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Provider Name | ANDREW RIOFRIO
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Gender | Male
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Dates
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Enumeration Date | 01/12/2014
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 9018 SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11435-3636
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Country | US
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Telephone | 917-310-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 9107 108TH ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 017283
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 017283
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License Number State | NY
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