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General NPI Number Information
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NPI Number | 1649473471
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Entity Type | Organization
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Legal Business Name | CMC OCCUPATIONAL HEALTH SERVICES, PC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | BUILDING 198 JFK INTERNATIONAL AIRPORT
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City | JAMAICA
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State | NY
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Zip | 11430
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Country | US
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Telephone | 718-656-5344
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Fax | 718-917-8860
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Provider Business Mailing Address
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Address Line | BUILDING 198 JFK INTERNATIONAL AIRPORT
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City | JAMAICA
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State | NY
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Zip | 11430
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Country | US
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Telephone | 718-656-5344
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Fax | 718-917-8860
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Authorized Official
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Title or Position | VP AND CHIEF OPERATING OFFICER
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Name | MR. VITO L RECINIELLO
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Credential |
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Telephone | 718-656-5344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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