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General NPI Number Information
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NPI Number | 1902068802
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Entity Type | Organization
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Legal Business Name | FISHKILL MEDICAL & ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 66 MIDDLEBUSH RD SUITE 202
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4098
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Country | US
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Telephone | 845-896-5900
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Fax | 845-896-4545
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Provider Business Mailing Address
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Address Line | 66 MIDDLEBUSH RD SUITE 202
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4098
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Country | US
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Telephone | 845-896-5900
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Fax | 845-896-4545
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Authorized Official
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Title or Position | MD
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Name | SURESH CHANDANI
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Credential |
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Telephone | 845-896-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 147940
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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