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General NPI Number Information
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NPI Number | 1811257785
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Entity Type | Organization
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Legal Business Name | ARISTAHEALTH MEDICAL CARE PC
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 133 E 58TH ST STE 1002
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City | NEW YORK
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State | NY
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Zip | 10022-1278
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Country | US
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Telephone | 212-725-5888
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Fax | 718-520-8050
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Provider Business Mailing Address
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Address Line | 6561 SAUNDERS ST APT 2B
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City | REGO PARK
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State | NY
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Zip | 11374-4219
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Country | US
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Telephone | 718-520-8700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAKOV LEVY
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Credential | M.D.
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Telephone | 718-520-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 226066
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License Number State | NY
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