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General NPI Number Information
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NPI Number | 1932615119
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Entity Type | Organization
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Legal Business Name | MICHAEL GEORGE ALLEYNE MD PC
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Dates
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Enumeration Date | 12/24/2017
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Last Update Date | 12/24/2017
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Provider Practice Location Address
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Address Line | 10508 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2013
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Country | US
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Telephone | 929-354-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 835 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8160
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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 | MICHAEL ALLEYNE
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Credential | MD
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Telephone | 845-978-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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