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General NPI Number Information
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NPI Number | 1689816902
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Entity Type | Organization
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Legal Business Name | AHMED ELKOULILY M D P C
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 232 MERRICK RD
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City | LYNBROOK
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State | NY
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Zip | 11563-2623
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Country | US
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Telephone | 516-594-5961
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Fax |
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Provider Business Mailing Address
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Address Line | 232 MERRICK RD
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City | LYNBROOK
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State | NY
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Zip | 11563-2623
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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 | MEDICAL DIRECTOR
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Name | NAFISA ARIF
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Credential | MD
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Telephone | 516-606-7036
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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 | 204874
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License Number State | NY
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