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General NPI Number Information
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NPI Number | 1215732508
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Entity Type | Organization
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Legal Business Name | DAVID L BRISMAN DMD PC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 31 WASHINGTON SQ W APT 1R
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City | NEW YORK
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State | NY
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Zip | 10011-9172
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Country | US
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Telephone | 212-673-6900
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Fax | 212-254-7356
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Provider Business Mailing Address
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Address Line | 31 WASHINGTON SQ W APT 1R
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City | NEW YORK
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State | NY
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Zip | 10011-9172
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Country | US
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Telephone | 212-673-6900
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Fax | 212-254-7356
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L BRISMAN
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Credential | DMD
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Telephone | 212-673-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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