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NPI 1124148952

NPI 1124148952 : YONKERS UROLOGY P.C. : YONKERS, NY

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General NPI Number Information
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    NPI Number           |    1124148952
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    Entity Type          |    Organization 
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    Legal Business Name  |    YONKERS UROLOGY P.C. 
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Dates
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    Enumeration Date     |    03/29/2007
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    Last Update Date     |    09/24/2007
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Provider Practice Location Address
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    Address Line         |    944 N BROADWAY SUITE G-6
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10701-1304
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    Country              |    US
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    Telephone            |    914-378-1000
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    Fax                  |    914-378-1951
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Provider Business Mailing Address
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    Address Line         |    944 N BROADWAY SUITE G-6
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10701-1304
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    Country              |    US
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    Telephone            |    914-378-1000
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    Fax                  |    914-378-1951
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NAYEL J. SAYEGH 
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    Credential           |    M.D, F.A.C.S.
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    Telephone            |    914-378-1000
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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       |    132447
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    License Number State |    NY
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