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General NPI Number Information
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NPI Number | 1124030846
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Entity Type | Organization
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Legal Business Name | JACEK J. PREIBISZ,M.D. PC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 737 PARK AVE SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10021-4256
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Country | US
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Telephone | 212-585-3900
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Fax | 212-585-1221
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Provider Business Mailing Address
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Address Line | 158 W 27TH ST 11TH FLOOR SOUTH
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City | NEW YORK
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State | NY
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Zip | 10001-6216
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Country | US
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Telephone | 212-563-2497
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Fax | 212-563-0605
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACEK J. PREIBISZ
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Credential |
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Telephone | 212-585-3900
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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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