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General NPI Number Information
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NPI Number | 1235074295
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Entity Type | Organization
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Legal Business Name | ANTHONY DAMBROSIO MD PLLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1 BLUE HILL PLZ LBBY LEVEL
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City | PEARL RIVER
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State | NY
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Zip | 10965-3111
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Country | US
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Telephone | 646-552-7146
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Fax |
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Provider Business Mailing Address
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Address Line | 6 RIVERVIEW LN
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City | HO HO KUS
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State | NJ
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Zip | 07423-1205
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Country | US
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Telephone | 646-552-7146
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. ANTHONY LOUIS D'AMBROSIO
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Credential | MD
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Telephone | 646-552-7146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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