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General NPI Number Information
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NPI Number | 1124060595
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Entity Type | Organization
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Legal Business Name | ST. BARNABAS OB GYN, PC
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 4422 THIRD AVENUE
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City | BRONX
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State | NY
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Zip | 10457-2545
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Country | US
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Telephone | 718-960-9415
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Fax | 718-960-9414
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Provider Business Mailing Address
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Address Line | 4422 THIRD AVENUE ANNEX BLD
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City | BRONX
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State | NY
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Zip | 10457-2545
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Country | US
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Telephone | 718-960-9415
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Fax | 718-960-9414
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Authorized Official
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Title or Position | PRESIDENT OF PC
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Name | MARK A ROSING
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Credential | MD
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Telephone | 718-960-9415
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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