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General NPI Number Information
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NPI Number | 1730584947
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Entity Type | Organization
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Legal Business Name | 1ST STEP TO HEALTH MEDICAL PC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 4310-12 CHURCH AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-287-1000
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Fax | 718-287-1033
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Provider Business Mailing Address
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Address Line | 4310-12 CHURCH AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-287-1000
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Fax | 718-287-1033
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. ANDREW DAVY
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Credential |
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Telephone | 718-287-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 60-189163
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License Number State | NY
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