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NPI 1780949107

NPI 1780949107 : YECHIEL SPREI : SPRING VALLEY, NY

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General NPI Number Information
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    NPI Number           |    1780949107
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    Entity Type          |    Individual 
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    Provider Name        |    YECHIEL SPREI
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2012
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    3 ASHER DR 
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    City                 |    SPRING VALLEY
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    State                |    NY
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    Zip                  |    10977-2786
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    Country              |    US
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    Telephone            |    718-435-1965
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1216 48TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-3077
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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    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    NY
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