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General NPI Number Information
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NPI Number | 1932816147
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Entity Type | Organization
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Legal Business Name | JAY ARTHUR KERNER
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 314 DEMOTT AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1854
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Country | US
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Telephone | 516-223-4026
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Fax | 516-330-7917
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Provider Business Mailing Address
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Address Line | 314 DEMOTT AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1854
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Country | US
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Telephone | 516-223-4026
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAY A KERNER
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Credential |
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Telephone | 516-223-4026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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