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General NPI Number Information
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NPI Number | 1245338573
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Entity Type | Organization
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Legal Business Name | NYE MEDICAL SERVICES PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 1101 PELHAM PKWY N
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City | BRONX
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State | NY
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Zip | 10469-5411
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Country | US
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Telephone | 718-515-3500
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Fax | 718-405-3806
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Provider Business Mailing Address
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Address Line | 1101 PELHAM PKWY N
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City | BRONX
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State | NY
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Zip | 10469-5411
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Country | US
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Telephone | 718-515-3500
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Fax | 718-405-3806
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Authorized Official
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Title or Position | SURGEON DIRECTOR
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Name | JEROME H LEVY
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Credential | MD
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Telephone | 718-519-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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