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General NPI Number Information
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NPI Number | 1912461351
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Entity Type | Organization
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Legal Business Name | ERIC J YOUSHA DO PC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 2870 HEMPSTEAD TPKE STE 106
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City | LEVITTOWN
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State | NY
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Zip | 11756-1341
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Country | US
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Telephone | 516-226-7150
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Fax | 516-226-7151
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Provider Business Mailing Address
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Address Line | 7 DISC LN
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City | WANTAGH
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State | NY
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Zip | 11793-1811
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Country | US
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Telephone | 516-554-4833
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Fax | 845-271-4280
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Authorized Official
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Title or Position | OWNER
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Name | ERIC J YOUSHA
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Credential | DO
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Telephone | 516-226-7150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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