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General NPI Number Information
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NPI Number | 1710001862
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Entity Type | Organization
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Legal Business Name | SYNERGY MEDICAL PRACTICE PC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3907 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11232-2901
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Country | US
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Telephone | 718-435-9745
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Fax | 718-435-9746
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Provider Business Mailing Address
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Address Line | 3907 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11232-2901
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Country | US
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Telephone | 718-435-9745
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Fax | 718-435-9746
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Authorized Official
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Title or Position | OWNER-DOCTOR
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Name | MR. DAVID H DELMAN
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Credential | M.D.
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Telephone | 718-435-9745
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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 | 164099
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License Number State | NY
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