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General NPI Number Information
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NPI Number | 1750667952
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Entity Type | Organization
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Legal Business Name | ISRAEL S ECKMAN MD PLLC
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE SUITE 129
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-678-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 680 EUCLID AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3533
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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 | OWNER
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Name | ISRAEL ECKMAN
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Credential |
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Telephone | 443-255-9174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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