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General NPI Number Information
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NPI Number | 1932648482
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Entity Type | Organization
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Legal Business Name | BIG APPLE MEDICAL WALK-IN URGENT CARE, PLLC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 3805 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2906
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Country | US
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Telephone | 516-603-5745
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2906
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Country | US
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Telephone | 718-287-0616
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Fax | 201-333-4892
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAMARA MOISE
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Credential | MD
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Telephone | 516-603-5745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NY
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