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General NPI Number Information
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NPI Number | 1710807912
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Entity Type | Organization
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Legal Business Name | NEKO HEALTH P.A.
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 300 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10012-2713
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Country | US
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Telephone | 646-793-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 524 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10012-4408
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Country | US
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Telephone | 646-793-4427
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MARIA BERGENHEM
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Credential |
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Telephone | 617-378-2474
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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 |
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License Number State |
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