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General NPI Number Information
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NPI Number | 1730972654
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Entity Type | Organization
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Legal Business Name | BROOKLYN FAMILY MEDICINE PRACTICE PC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 245 5TH AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 385-327-2541
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Fax |
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Provider Business Mailing Address
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Address Line | 150 4TH AVE APT 4E
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City | BROOKLYN
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State | NY
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Zip | 11217-3147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS ADMINISTRATOR
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Name | MR. NIKHIL JHUNJHNUWALA
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Credential |
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Telephone | 908-698-1652
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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 |
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License Number State |
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