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General NPI Number Information
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NPI Number | 1881061315
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Entity Type | Organization
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Legal Business Name | FIRST MEDICAL AP PC
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 1 WESTCHESTER PLZ
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City | ELMSFORD
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State | NY
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Zip | 10523-1600
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Country | US
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Telephone | 914-307-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 2167 E 21ST ST STE 148
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City | BROOKLYN
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State | NY
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Zip | 11229-3607
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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 | MANAGING DIRECTOR
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Name | STEVE BURKE
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Credential |
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Telephone | 718-344-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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