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General NPI Number Information
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NPI Number | 1982313755
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Entity Type | Organization
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Legal Business Name | DR. ZAYTOUN MEDICAL CARE PC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 285 MIDDLE COUNTRY RD
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953-2505
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Country | US
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Telephone | 631-561-7226
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Fax |
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Provider Business Mailing Address
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Address Line | 61 DARE RD
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City | SELDEN
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State | NY
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Zip | 11784-2003
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Country | US
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Telephone | 631-561-7226
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GHADA ZAYTOUN
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Credential | MD
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Telephone | 631-561-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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