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General NPI Number Information
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NPI Number | 1114097094
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Entity Type | Organization
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Legal Business Name | WINDSOR TING, MD
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 128 MOTT ST STE 701
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City | NEW YORK
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State | NY
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Zip | 10013-5575
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Country | US
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Telephone | 212-343-1974
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Fax | 212-343-3299
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Provider Business Mailing Address
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Address Line | PO BOX 430 PECK SLIP STATIONRK
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City | NEW YORK
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State | NY
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Zip | 10272-0430
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Country | US
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Telephone | 212-343-1974
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Fax | 212-343-3299
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Authorized Official
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Title or Position | DR.
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Name | DR. WINDSOR TING
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Credential | M.D.
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Telephone | 212-343-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 143238
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License Number State | NY
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