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General NPI Number Information
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NPI Number | 1255456745
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PLAZA OBSTETRICS & GYNECOLOGY, LLP
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 877 STEWART AVE SUITE 7
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City | GARDEN CITY
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State | NY
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Zip | 11530-4803
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Country | US
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Telephone | 516-222-0722
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Fax | 516-683-0184
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Provider Business Mailing Address
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Address Line | 877 STEWART AVE SUITE 7
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City | GARDEN CITY
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State | NY
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Zip | 11530-4803
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Country | US
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Telephone | 516-222-0722
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Fax | 516-683-0184
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Authorized Official
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Title or Position | PARTNER
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Name | DR. GARY SHELDON ROSENBERG
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Credential | M.D.
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Telephone | 516-222-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | NY
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