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General NPI Number Information
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NPI Number | 1831811496
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE OF NYC PLLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 10152 LEFFERTS BLVD
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City | JAMAICA
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State | NY
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Zip | 11419-2006
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Country | US
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Telephone | 346-998-0291
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Fax | 877-870-9357
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Provider Business Mailing Address
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Address Line | 10152 LEFFERTS BLVD
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City | JAMAICA
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State | NY
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Zip | 11419-2006
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Country | US
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Telephone | 718-250-8000
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Fax | 877-870-9357
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RACHANA YALAMANCHILI
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Credential | MD
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Telephone | 718-250-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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