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General NPI Number Information
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NPI Number | 1659570059
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Entity Type | Organization
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Legal Business Name | MULTI-MEDICINE OF NY,PC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 559 ATLANTIC AVE
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1530
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Country | US
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Telephone | 516-593-8333
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Fax | 516-593-8344
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Provider Business Mailing Address
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Address Line | 559 ATLANTIC AVE
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1530
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Country | US
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Telephone | 516-593-8333
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Fax | 516-593-8344
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NITIN D NARKHEDE
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Credential | M.D.
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Telephone | 516-593-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 176728
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License Number State | NY
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