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General NPI Number Information
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NPI Number | 1851194823
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Entity Type | Organization
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Legal Business Name | EQUINOX HEALTH MEDICAL PC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 128 BEACH 115TH ST
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2408
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Country | US
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Telephone | 717-716-7107
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Fax |
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Provider Business Mailing Address
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Address Line | 221 SEA BREEZE AVE APT PH2B
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City | BROOKLYN
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State | NY
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Zip | 11224-3454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NABEEL BABAR
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Credential |
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Telephone | 646-687-2838
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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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