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General NPI Number Information
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NPI Number | 1841668753
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Entity Type | Organization
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Legal Business Name | EAST MEADOW MEDICAL PC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 295 E MEADOW AVE
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City | EAST MEADOW
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State | NY
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Zip | 11554-2937
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Country | US
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Telephone | 516-222-0311
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Fax | 516-357-3683
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Provider Business Mailing Address
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Address Line | 35 ABERDEEN RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2139
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Country | US
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Telephone | 516-222-0311
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Fax | 516-357-3683
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEBEEN RAZZAQ-AHMED
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Credential | D.O.
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Telephone | 516-729-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 265114
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License Number State | NY
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