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General NPI Number Information
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NPI Number | 1104787613
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Entity Type | Organization
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Legal Business Name | NEW YORK UNIVERSITY
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3301 QUANTUM BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8668
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Country | US
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Telephone | 877-648-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W 26TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-6975
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Country | US
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Telephone | 646-660-9999
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Fax |
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Authorized Official
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Title or Position | SR VP FOR CLINICAL AFFAIRS
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Name | ANDREW RUBIN
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Credential |
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Telephone | 212-263-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 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 #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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