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General NPI Number Information
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NPI Number | 1124292982
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Entity Type | Organization
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Legal Business Name | HINDOLA KONRAD MD PC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 240 W 98TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10025-5501
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Country | US
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Telephone | 212-758-0388
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Fax | 646-864-0710
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Provider Business Mailing Address
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Address Line | 225 E 64TH ST SUITE 11
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City | NEW YORK
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State | NY
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Zip | 10065-6690
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Country | US
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Telephone | 212-758-0388
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Fax | 203-790-6738
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Authorized Official
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Title or Position | ASSISTANT
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Name | ARACELI SAAVEDRA
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Credential |
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Telephone | 203-297-6869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2007701
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License Number State | NY
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