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General NPI Number Information
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NPI Number | 1730904582
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Entity Type | Organization
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Legal Business Name | CLINICAL MEDICAL CONSULTING
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 44 W 74TH ST STE 3F
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City | NEW YORK
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State | NY
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Zip | 10023-2463
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Country | US
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Telephone | 917-553-2700
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Fax | 917-423-0433
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Provider Business Mailing Address
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Address Line | 44 W 74TH ST APT 3F
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City | NEW YORK
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State | NY
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Zip | 10023-2463
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Country | US
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Telephone | 917-553-2700
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Fax | 917-423-0433
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Authorized Official
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Title or Position | OWNER
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Name | LUIZA F PETRE
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Credential |
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Telephone | 917-553-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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