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General NPI Number Information
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NPI Number | 1750605028
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Entity Type | Organization
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Legal Business Name | BIG APPLE MEDICAL PC
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 6318 AUSTIN ST
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City | REGO PARK
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State | NY
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Zip | 11374-2923
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Country | US
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Telephone | 718-459-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 6318 AUSTIN ST
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City | REGO PARK
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State | NY
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Zip | 11374-2923
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Country | US
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Telephone | 718-459-4106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SERGEY GABINSKY
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Credential | MD
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Telephone | 718-459-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 190703
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 230548
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 031423
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030887
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 032055
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 199910
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License Number State | NY
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