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General NPI Number Information
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NPI Number | 1932730611
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Entity Type | Organization
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Legal Business Name | AA HEALTHWELL MEDICAL P.C.
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 244 5TH AVE STE A220
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 347-261-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 6327 84TH ST
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1951
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Country | US
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Telephone | 347-261-6240
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. ARNOLD ABRAMOV
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Credential | MD
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Telephone | 347-261-6240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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