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General NPI Number Information
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NPI Number | 1093111569
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Entity Type | Organization
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Legal Business Name | ARTHUR H. GLADSTEIN MD PC
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 3062 36TH ST
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City | ASTORIA
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State | NY
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Zip | 11103-4705
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Country | US
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Telephone | 718-728-8979
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Fax | 718-274-1818
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Provider Business Mailing Address
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Address Line | 3062 36TH ST
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City | ASTORIA
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State | NY
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Zip | 11103-4705
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Country | US
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Telephone | 718-728-8979
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Fax | 718-274-1818
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL GLADSTEIN
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Credential | MD
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Telephone | 718-728-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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