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General NPI Number Information
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NPI Number | 1780036053
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Entity Type | Organization
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Legal Business Name | CITY MEDICAL OFFICE PC.
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 11 RALPH PL STE 105
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4405
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Country | US
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Telephone | 718-697-7286
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Fax | 888-501-6619
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Provider Business Mailing Address
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Address Line | 980 W FINGERBOARD RD
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4414
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Country | US
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Telephone | 718-213-1416
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Fax | 888-501-6619
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RATTAN M PATEL
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Credential | MD
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Telephone | 718-213-1416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 262002
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 262002
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License Number State | NY
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Taxonomy #3
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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 | 265750
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 265750
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 265750
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 262002
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 265750
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 265750
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License Number State | NY
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