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General NPI Number Information
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NPI Number | 1225433246
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY ASSOCIATES OF NEW YORK, PLLC
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 440 MAMARONECK AVE SUITE 412
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City | HARRISON
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State | NY
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Zip | 10528-2418
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Country | US
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Telephone | 914-777-1799
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Fax | 914-777-1899
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Provider Business Mailing Address
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Address Line | 440 MAMARONECK AVE SUITE 412
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City | HARRISON
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State | NY
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Zip | 10528-2418
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Country | US
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Telephone | 914-777-1799
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Fax | 914-777-1899
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DEBBIE MERAL PALMER
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Credential | D.O.
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Telephone | 914-777-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 217867
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License Number State | NY
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