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General NPI Number Information
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NPI Number | 1932739281
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Entity Type | Organization
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Legal Business Name | EAR NOSE & THROAT MEDICAL SERVICES OF NEW YORK, PLLC
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 8 QUAKER RIDGE RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-3326
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Country | US
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Telephone | 516-521-9428
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Fax |
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Provider Business Mailing Address
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Address Line | 8 QUAKER RIDGE RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-3326
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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 | MD
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Name | STEPHEN WARMAN
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Credential |
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Telephone | 516-521-9428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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