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General NPI Number Information
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NPI Number | 1134139116
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Entity Type | Organization
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Legal Business Name | NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4872
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Country | US
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Telephone | 212-606-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4872
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Country | US
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Telephone | 212-606-1233
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Fax |
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Authorized Official
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Title or Position | PRACTICE DIRECTOR
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Name | RICHARD FLEURY
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Credential |
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Telephone | 212-606-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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