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General NPI Number Information
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NPI Number | 1972776359
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Entity Type | Organization
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Legal Business Name | GS MEDICAL CONSULTING P.C.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 1234 W BROADWAY UNIT A
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City | HEWLETT
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State | NY
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Zip | 11557-1929
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Country | US
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Telephone | 516-295-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 380 W PENN ST
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City | LONG BEACH
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State | NY
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Zip | 11561-3935
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Country | US
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Telephone | 516-295-7439
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GALINA STOLINA
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Credential | MD
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Telephone | 516-295-7439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200841
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License Number State | NY
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