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NPI 1962897710

NPI 1962897710 : MATTHEW DOUNEL MD MPH PLLC : BAYSIDE, NY

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General NPI Number Information
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    NPI Number           |    1962897710
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    Entity Type          |    Organization 
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    Legal Business Name  |    MATTHEW DOUNEL MD MPH PLLC 
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Dates
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    Enumeration Date     |    03/30/2015
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    Last Update Date     |    12/09/2024
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Provider Practice Location Address
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    Address Line         |    22215 NORTHERN BLVD STE LOBBYA 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11361-3678
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    Country              |    US
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    Telephone            |    718-309-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    72-11 AUSTIN ST MB #230
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375
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    Country              |    US
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    Telephone            |    718-309-4000
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    Fax                  |    718-744-2980
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. MATTHEW  DOUNEL 
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    Credential           |    MD MPH
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    Telephone            |    718-309-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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