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General NPI Number Information
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NPI Number | 1932228475
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Entity Type | Organization
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Legal Business Name | DELTA MEDICAL SERVICES P.C
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 475 WHITE PLAINS RD SUITE 18
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-633-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 475 WHITE PLAINS RD SUITE 18
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-633-8400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FUNSHO BUSARI-ALABI
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Credential | MD
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Telephone | 914-633-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 237437
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License Number State | NY
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