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General NPI Number Information
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NPI Number | 1952615528
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Entity Type | Organization
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Legal Business Name | PEDIATRIC MEDICAL WORLD PC
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 35 E GRASSY SPRAIN RD SUITE 102
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City | YONKERS
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State | NY
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Zip | 10710
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Country | US
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Telephone | 914-652-7477
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Fax | 914-652-7478
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Provider Business Mailing Address
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Address Line | 35 E GRASSY SPRAIN RD STE 102
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City | YONKERS
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State | NY
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Zip | 10710-4612
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Country | US
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Telephone | 914-652-7477
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Fax | 914-652-7478
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARIKA GUPTA SUNKU
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Credential | M.D
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Telephone | 914-652-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 226934
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License Number State | NY
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