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General NPI Number Information
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NPI Number | 1023473378
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Entity Type | Organization
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Legal Business Name | ALTUS NEUROSURGERY AND SPINE PLLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 315 W 57TH ST APT 15J
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City | NEW YORK
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State | NY
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Zip | 10019-3158
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Country | US
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Telephone | 646-588-1506
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Fax | 646-205-4046
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Provider Business Mailing Address
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Address Line | 112 E 61ST ST
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City | NEW YORK
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State | NY
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Zip | 10065-8514
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Country | US
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Telephone | 646-588-1506
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Fax | 646-205-4046
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK B SENATUS
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Credential | M.D., PH.D.
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Telephone | 646-588-1506
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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 | 222582
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License Number State | NY
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