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General NPI Number Information
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NPI Number | 1710979109
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Entity Type | Organization
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Legal Business Name | SHEEPSHEAD BAY SURGERY CENTER, INC.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 2269 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3103
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Country | US
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Telephone | 718-787-0387
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Fax | 718-787-0388
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Provider Business Mailing Address
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Address Line | 2269 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3103
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Country | US
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Telephone | 718-787-0387
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Fax | 718-787-0388
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Authorized Official
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Title or Position | MEDICAL DIRECTOR VICE PRESIDENT
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Name | DR. DEBORAH SILBERMAN
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Credential |
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Telephone | 718-787-0387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7001288R
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License Number State | NY
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