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General NPI Number Information
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NPI Number | 1679847768
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA FAMILY CARE OF QUEENS, P.C.
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 8814 198TH ST
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City | HOLLIS
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State | NY
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Zip | 11423-2119
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Country | US
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Telephone | 718-470-2345
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Fax | 718-679-9779
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Provider Business Mailing Address
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Address Line | 8814 198TH ST
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City | HOLLIS
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State | NY
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Zip | 11423-2119
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Country | US
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Telephone | 718-470-2345
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Fax | 718-679-9779
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUDHISTIRA PERSAUD
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Credential | MD
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Telephone | 917-584-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 231667
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License Number State | NY
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