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General NPI Number Information
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NPI Number | 1811176068
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Entity Type | Organization
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Legal Business Name | SEARINGTOWN ANESTHESIA PC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 120 E 79TH ST 1C
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City | NEW YORK
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State | NY
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Zip | 10075-0319
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Country | US
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Telephone | 516-509-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 56 GREEN DR
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City | ROSLYN
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State | NY
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Zip | 11576-3222
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Country | US
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Telephone | 516-294-9086
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | AHMED EL SHERYIE
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Credential |
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Telephone | 516-509-5552
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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 | 199684
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License Number State | NY
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