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General NPI Number Information
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NPI Number | 1043469943
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Entity Type | Organization
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Legal Business Name | PREMIER PHYSICIANS AND SURGEONS, PLLC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 1055 SAW MILL RIVER RD SUITE 101
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City | ARDSLEY
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State | NY
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Zip | 10502-1045
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Country | US
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Telephone | 914-693-7636
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Fax | 914-693-5994
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | HAWTHORNE
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State | NY
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Zip | 10532-0488
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Country | US
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Telephone | 914-372-7003
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Fax | 914-372-7013
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Authorized Official
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Title or Position | MANAGER
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Name | AUGUSTINE L MOSCATELLO
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Credential | M.D.
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Telephone | 914-372-7003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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