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NPI 1154577997

NPI 1154577997 : DARIUSH ALAIE, MD PC : MOUNT VERNON, NY

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General NPI Number Information
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    NPI Number           |    1154577997
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    Entity Type          |    Organization 
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    Legal Business Name  |    DARIUSH ALAIE, MD PC 
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Dates
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    Enumeration Date     |    08/12/2008
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    Last Update Date     |    08/12/2008
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Provider Practice Location Address
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    Address Line         |    12 N 7TH AVE FL 6 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10550-2026
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    Country              |    US
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    Telephone            |    914-668-3806
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    Fax                  |    914-668-7233
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Provider Business Mailing Address
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    Address Line         |    12 N 7TH AVE FL 6 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10550-2026
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    Country              |    US
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    Telephone            |    914-668-3806
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    Fax                  |    914-668-7233
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DARIUSH  ALAIE 
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    Credential           |    MD
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    Telephone            |    914-668-3806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    100645
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    License Number State |    NY
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