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General NPI Number Information
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NPI Number | 1164407359
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Entity Type | Organization
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Legal Business Name | ST LUKES ROOSEVELT HOSPITAL CENTER
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 425 WEST 59TH STREET, STE 5-A
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City | NEW YORK
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State | NY
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Zip | 10019-8022
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Country | US
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Telephone | 212-523-7751
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Fax | 212-523-8348
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Provider Business Mailing Address
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Address Line | PO BOX 95000-3330
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City | PHILADELPHIA
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State | PA
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Zip | 19195-3330
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Country | US
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Telephone | 516-338-5300
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Fax | 516-333-1075
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JEFFREY SINGERMAN
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Credential |
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Telephone | 212-523-3452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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