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General NPI Number Information
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NPI Number | 1881903284
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Entity Type | Organization
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Legal Business Name | HARLEM FIRSTAID MEDICAL PC
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Dates
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Enumeration Date | 10/02/2010
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 13656 39TH AVE FL 2
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City | FLUSHING
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State | NY
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Zip | 11354-5598
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Country | US
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Telephone | 718-886-7575
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Fax | 718-886-7574
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Provider Business Mailing Address
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Address Line | 527 4TH ST
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2380
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Country | US
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Telephone | 917-862-4464
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/CEO
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Name | DR. HANGJUN JANG
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Credential | M.D., PH.D.
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Telephone | 917-862-4464
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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 | 251295
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License Number State | NY
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