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General NPI Number Information
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NPI Number | 1033558853
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Entity Type | Organization
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Legal Business Name | GS INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 06/15/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1882 NEW SCOTLAND RD STE 200
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City | SLINGERLANDS
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State | NY
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Zip | 12159-3627
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Country | US
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Telephone | 518-459-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 711 TROY SCHENECTADY RD STE 203
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City | LATHAM
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State | NY
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Zip | 12110-2461
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Country | US
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Telephone | 518-782-3700
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Fax | 518-782-3799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE SORYAL
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Credential | M.D.
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Telephone | 914-826-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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