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General NPI Number Information
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NPI Number | 1073780086
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Entity Type | Organization
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Legal Business Name | GRAMERCY CARDIAC DIAGNOSTIC SVCS P.C.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 1973 UNIVERSITY AVENUE
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City | BRONX
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State | NY
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Zip | 10453-4404
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Country | US
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Telephone | 212-475-8066
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Fax | 212-475-4175
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Provider Business Mailing Address
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Address Line | PO BOX 9467
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City | UNIONDALE
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State | NY
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Zip | 11555-9467
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Country | US
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Telephone | 212-475-8066
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Fax | 212-475-4175
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NORA FLEISCHMANN
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Credential |
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Telephone | 212-475-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 60-144465
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License Number State | NY
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