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NPI 1720257108

NPI 1720257108 : ASLOYAN MEDICAL PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1720257108
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASLOYAN MEDICAL PC 
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Dates
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    Enumeration Date     |    02/29/2008
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    Last Update Date     |    03/24/2008
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Provider Practice Location Address
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    Address Line         |    2626 E 14TH ST SUITE 104
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3966
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    Country              |    US
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    Telephone            |    718-368-2625
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    Fax                  |    718-368-2633
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Provider Business Mailing Address
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    Address Line         |    2626 E 14TH ST SUITE 104
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3966
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    Country              |    US
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    Telephone            |    718-368-2625
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    Fax                  |    718-368-2633
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANNA  ASLOYAN 
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    Credential           |    DO
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    Telephone            |    718-368-2625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    223955
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    License Number State |    NY
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