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General NPI Number Information
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NPI Number | 1871685057
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Entity Type | Organization
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Legal Business Name | BROOKLYN HEMATOLOGY ONCOLOGY, P.C.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 263 7TH AVE STE 5-F
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City | BROOKLYN
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State | NY
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Zip | 11215-3689
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Country | US
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Telephone | 718-369-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 263 7TH AVE STE 5-F
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City | BROOKLYN
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State | NY
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Zip | 11215-3689
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Country | US
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Telephone | 718-369-4860
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHA NAYAK
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Credential | M.D.
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Telephone | 718-369-4860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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