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General NPI Number Information
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NPI Number | 1912067554
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Entity Type | Organization
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Legal Business Name | GEORGE S. FERZLI, MD, PC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 CROMWELL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-3944
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Country | US
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Telephone | 718-667-8100
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Fax | 718-667-6280
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Provider Business Mailing Address
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Address Line | 65 CROMWELL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-3944
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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 | OWNER
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Name | DR. GEORGE S. FERZLI
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Credential | M.D.
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Telephone | 718-667-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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