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General NPI Number Information
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NPI Number | 1073701702
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY, DIABETES AND OSTEOPOROSIS CONSULTANTS LLP
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 770B MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3843
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Country | US
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Telephone | 914-237-3636
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Fax | 914-237-6319
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Provider Business Mailing Address
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Address Line | 770B MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3843
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Country | US
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Telephone | 914-237-3636
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Fax | 914-237-6319
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JONAS LEIBOWITZ
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Credential | M.D.
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Telephone | 914-237-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 194663
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License Number State | NY
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