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General NPI Number Information
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NPI Number | 1215022603
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Entity Type | Organization
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Legal Business Name | PARK MEDICAL ASSOCIATES OF NEW YORK PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 1250 WATERS PL STE-1207
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City | BRONX
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State | NY
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Zip | 10461-2720
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Country | US
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Telephone | 718-409-3335
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Fax | 718-918-9778
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Provider Business Mailing Address
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Address Line | 1250 WATERS PL STE-1207
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City | BRONX
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State | NY
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Zip | 10461-2720
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Country | US
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Telephone | 718-409-3335
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Fax | 718-918-9778
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RACHELE T. SPINOWITZ
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Credential |
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Telephone | 718-409-3335
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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 |
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License Number State |
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