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General NPI Number Information
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NPI Number | 1144260910
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Entity Type | Organization
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Legal Business Name | ERNST, SY AND MENON
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 1770 GRAND CONCOURSE #2G
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City | BRONX
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State | NY
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Zip | 10457-5524
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Country | US
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Telephone | 718-518-5581
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Fax | 718-299-1877
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Provider Business Mailing Address
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Address Line | PO BOX 1786
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City | BRONX
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State | NY
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Zip | 10451-1786
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Country | US
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Telephone | 718-901-8154
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Fax | 718-901-8151
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ERNESTO SY
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Credential | MD
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Telephone | 718-518-5420
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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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