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Organization
NEPONSIT MEDICAL PC
Active
Organization
NEPONSIT MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOAHANAH KAHN MD (OWNER)
(718) 327-7457
Entity
Organization
Contact information
Practice address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7457
(718) 327-7539
Mailing address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7457
(718) 327-7539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NY
207Q00000X
Family Medicine Physician
Primary
—
NY
207R00000X
Internal Medicine Physician
—
NY
225100000X
Physical Therapist
—
NY
Other
Enumeration date
11/23/2009
Last updated
10/05/2010
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