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General NPI Number Information
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NPI Number | 1083981344
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Entity Type | Organization
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Legal Business Name | AMSTERDAM MEDICAL PRACTICE, PLLC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 2360 AMSTERDAM AVE STE M1
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City | NEW YORK
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State | NY
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Zip | 10033-7362
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Country | US
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Telephone | 212-923-0559
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Fax | 212-740-4930
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Provider Business Mailing Address
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Address Line | 2360 AMSTERDAM AVE STE M1
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City | NEW YORK
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State | NY
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Zip | 10033-7362
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Country | US
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Telephone | 212-923-0559
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Fax | 212-740-4930
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EDUARDO L PIGNANELLI
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Credential | M.D.
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Telephone | 212-923-0559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 190569
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License Number State | NY
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