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General NPI Number Information
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NPI Number | 1144716374
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SURGERY AND SPORTS MEDICINE OF NEW YORK, PLLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 984 N BROADWAY STE 306
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City | YONKERS
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State | NY
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Zip | 10701-1308
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Country | US
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Telephone | 917-727-7646
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Fax | 914-612-7883
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Provider Business Mailing Address
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Address Line | 1088 N BROADWAY FL 1
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City | YONKERS
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State | NY
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Zip | 10701-1107
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Country | US
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Telephone | 917-727-7646
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Fax |
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Authorized Official
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Title or Position | FOUNDING PARTNER
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Name | VISHAL A. MEHTA
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Credential | DO
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Telephone | 914-369-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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