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General NPI Number Information
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NPI Number | 1992038764
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Entity Type | Organization
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Legal Business Name | ELIE J. SARKIS, MD, PC
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 22203 BRADDOCK AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1409
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Country | US
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Telephone | 718-479-4648
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Fax | 718-740-7453
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Provider Business Mailing Address
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Address Line | 22203 BRADDOCK AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1409
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Country | US
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Telephone | 718-479-4648
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Fax | 718-740-7453
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | DR. ELIE J SARKIS
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Credential | MD
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Telephone | 718-479-4648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 097586
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License Number State | NY
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