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General NPI Number Information
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NPI Number | 1053340901
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Entity Type | Organization
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Legal Business Name | METROPOLITAN LITHOTRIPTOR ASSOCIATES
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2578 HEMPSTEAD TURNPIKE
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City | EAST MEADOW
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State | NY
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Zip | 11554
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Country | US
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Telephone | 516-731-8118
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Fax | 516-731-9263
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Provider Business Mailing Address
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Address Line | 450 PARK AVENUE SOUTH
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City | NEW YORK CITY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-742-8815
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Fax | 212-481-8162
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Authorized Official
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Title or Position | PRESIDENT COO
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Name | MR. DAVID B MANDEL
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Credential |
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Telephone | 646-742-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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