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General NPI Number Information
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NPI Number | 1710279294
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL OF NYC PC
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 5321 FLATLANDS AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11234
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Country | US
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Telephone | 718-517-2244
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Fax | 718-517-2242
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Provider Business Mailing Address
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Address Line | 5321 FLATLANDS AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11234
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Country | US
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Telephone | 718-517-2244
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Fax | 718-517-2242
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Authorized Official
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Title or Position | M.D. (MEDICAL DIRECTOR)
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Name | JASON HALPER
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Credential | M.D.
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Telephone | 718-517-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 257837
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License Number State | NY
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