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General NPI Number Information
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NPI Number | 1952946931
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Entity Type | Organization
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Legal Business Name | PATRIOT MEDICAL
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 286 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3327
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Country | US
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Telephone | 914-236-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 26 FIREMENS MEMORIAL DR STE 115
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City | POMONA
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State | NY
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Zip | 10970-3569
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Country | US
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Telephone | 845-362-8400
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Fax | 845-362-8474
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Authorized Official
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Title or Position | OWNER
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Name | SAMY SAKER
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Credential |
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Telephone | 914-236-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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