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General NPI Number Information
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NPI Number | 1710383971
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Entity Type | Organization
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Legal Business Name | TREAT MEDICAL PRACTICE PC
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1616 VOORHIES AVE SUITE A
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City | BROOKLYN
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State | NY
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Zip | 11235-3914
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Country | US
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Telephone | 718-646-1170
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Fax | 718-646-1180
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Provider Business Mailing Address
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Address Line | 420 LEXINGTON AVE SUITE 2516
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City | NEW YORK
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State | NY
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Zip | 10170-0002
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Country | US
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Telephone | 212-874-0107
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Fax | 646-304-6474
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MAYER GROSSER
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Credential | M.D.
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Telephone | 201-390-7651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 153293
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License Number State | NY
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