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General NPI Number Information
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NPI Number | 1154850717
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Entity Type | Organization
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Legal Business Name | ANTHONY WILLIAM ZOGHBI MD
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 06/07/2017
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Provider Practice Location Address
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Address Line | 140 WEST 79TH STREET SUITE 1F-2
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 347-921-1873
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Fax |
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Provider Business Mailing Address
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Address Line | 269 W 72ND ST APT 14A
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City | NEW YORK
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State | NY
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Zip | 10023-2720
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Country | US
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Telephone | 347-921-1873
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. ANTHONY WILLIAM ZOGHBI
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Credential | MD
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Telephone | 347-921-1873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 275904
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License Number State | NY
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