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General NPI Number Information
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NPI Number | 1780822726
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Entity Type | Organization
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Legal Business Name | CLARKSTOWN UROLOGY PC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 301 N MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-4021
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Country | US
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Telephone | 845-638-0400
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Fax | 845-638-1193
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Provider Business Mailing Address
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Address Line | 301 N MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-4021
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Country | US
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Telephone | 845-638-0400
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Fax | 845-638-1193
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NABIL JAMES SAYEGH
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Credential | M.D.
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Telephone | 845-638-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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