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General NPI Number Information
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NPI Number | 1164658845
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Entity Type | Individual
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Provider Name | SAMIA TALISHINSKIY MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 260 EAST 188TH ST BRONX NY 10458
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City | BRONX
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State | NY
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Zip | 10458
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Country | US
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Telephone | 718-220-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 128 CARLOUGH RD
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-1414
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Country | US
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Telephone | 718-220-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 266105
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License Number State | NJ
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