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General NPI Number Information
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NPI Number | 1033402656
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Entity Type | Organization
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Legal Business Name | ADAM K PENSTEIN MD PLLC
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 116 E 66TH ST OFFICE-A
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City | NEW YORK
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State | NY
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Zip | 10065-6547
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Country | US
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Telephone | 646-470-6828
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Fax | 212-517-5181
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Provider Business Mailing Address
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Address Line | 116 E 66TH ST OFFICE-A
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City | NEW YORK
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State | NY
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Zip | 10065-6547
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Country | US
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Telephone | 646-470-6828
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Fax | 212-517-5181
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAM PENSTEIN
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Credential | MD
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Telephone | 212-517-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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