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General NPI Number Information
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NPI Number | 1831062496
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Entity Type | Organization
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Legal Business Name | LI NY MEDICAL CARE PC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 136 3RD AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4617
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Country | US
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Telephone | 347-268-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 19 SARATOGA DR
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City | JERICHO
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State | NY
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Zip | 11753-1444
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Country | US
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Telephone | 347-268-9125
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAFFAT BATOOL
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Credential | MD
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Telephone | 347-268-9125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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