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NPI Code Detail

MEDICARE: DR. NEFTALI Z AVIGDOR

MEDICARE:  DR. NEFTALI Z AVIGDOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician158911NY

General Provider Information

NPI Number : 1386602084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEFTALI Z AVIGDOR
Provider Business Mailing Address
First Line : 10230 66TH RD APT 7B
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-7617
Country : US
Telephone Number : 718-381-5600
Fax Number : 718-456-1068
Provider Business Practice Location Address
First Line : 333 KNICKERBOCKER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-3601
Country : US
Telephone Number : 718-381-5600
Fax Number : 718-456-1068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. NEFTALI Z AVIGDOR ” Practice Location

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