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General NPI Number Information
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NPI Number | 1770899718
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Entity Type | Organization
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Legal Business Name | NORTHEAST PULMONARY & SLEEP MEDICAL PC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 501B SURF AVE APT 18K
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City | BROOKLYN
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State | NY
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Zip | 11224-3501
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Country | US
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Telephone | 646-641-4278
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Fax |
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Provider Business Mailing Address
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Address Line | 501B SURF AVE APT 18K
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City | BROOKLYN
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State | NY
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Zip | 11224-3501
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Country | US
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Telephone | 646-641-4278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIKHAIL B LITINSKI
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Credential | M.D.
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Telephone | 646-641-4278
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 256979
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License Number State | NY
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