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NPI 1063575934

NPI 1063575934 : PARAMOUNT UROLOGICAL GROUP, P.C. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1063575934
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARAMOUNT UROLOGICAL GROUP, P.C. 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    04/16/2014
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Provider Practice Location Address
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    Address Line         |    161 FORT WASHINGTON AVENUE ROOM 1124
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032
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    Country              |    US
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    Telephone            |    212-305-5524
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    Fax                  |    212-305-0122
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Provider Business Mailing Address
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    Address Line         |    17 SQUADRON BLVD 
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    City                 |    NEW CITY
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    State                |    NY
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    Zip                  |    10956-5214
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    Country              |    US
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    Telephone            |    845-634-6500
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    Fax                  |    845-634-9424
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GERALD PIERRE HOKE 
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    Credential           |    M.D.
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    Telephone            |    212-305-5524
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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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