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General NPI Number Information
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NPI Number | 1710141445
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY ASSOCIATES OF NEW YORK PLLC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1991 MARCUS AVENUE SUITE 104
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City | LAKE SUCCESS
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State | NY
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Zip | 11042
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Country | US
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Telephone | 516-775-7200
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Fax | 516-565-4546
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Provider Business Mailing Address
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Address Line | 866 PRESTON RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4531
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Country | US
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Telephone | 516-775-7200
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Fax | 516-565-4546
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SARI D EDELMAN
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Credential | DO
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Telephone | 516-775-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 241129
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License Number State | NY
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