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General NPI Number Information
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NPI Number | 1174256630
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Entity Type | Organization
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Legal Business Name | ADAM NADELSON MD PC
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Dates
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Enumeration Date | 07/02/2022
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 652 NOYAC PATH
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City | WATER MILL
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State | NY
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Zip | 11976-2234
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Country | US
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Telephone | 516-279-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 53 W 36TH ST RM 205
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City | NEW YORK
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State | NY
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Zip | 10018-7684
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Country | US
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Telephone | 212-500-2163
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ADAM NADELSON
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Credential | MD
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Telephone | 212-500-2163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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