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General NPI Number Information
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NPI Number | 1144392085
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Entity Type | Organization
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Legal Business Name | HOSTIN ORTHOPAEDICS & SPORTS MEDICINE, PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 369 LEXINGTON AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10017-6536
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Country | US
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Telephone | 212-249-4240
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Fax | 855-693-7089
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Provider Business Mailing Address
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Address Line | 3801 PURCHASE ST
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City | PURCHASE
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State | NY
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Zip | 10577-1119
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Country | US
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Telephone | 212-249-4240
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Fax | 855-693-7089
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMMANUEL HOSTIN
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Credential | MD
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Telephone | 212-249-4240
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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 | 225878
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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