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General NPI Number Information
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NPI Number | 1104953587
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Entity Type | Organization
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Legal Business Name | AMERICAN INFERTILITY GROUP OF NY
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4917
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Country | US
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Telephone | 212-994-4400
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Fax | 212-994-4499
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Provider Business Mailing Address
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Address Line | 21 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4917
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Country | US
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Telephone | 212-994-4400
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Fax | 212-994-4499
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORBERT GLEICHER
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Credential | M.D.
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Telephone | 212-994-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 131544-1
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License Number State | NY
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