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General NPI Number Information
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NPI Number | 1952568339
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Entity Type | Individual
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Provider Name | DR. EFSTATHIA TZATHA
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 333 EARLE OVINGTON BLVD
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City | UNIONDALE
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State | NY
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Zip | 11553-3610
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Country | US
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Telephone | 212-743-3528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29234
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City | NEW YORK
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State | NY
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Zip | 10087-9234
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Country | US
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Telephone | 516-743-3528
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 266610
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License Number State | NY
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