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General NPI Number Information
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NPI Number | 1255578951
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Entity Type | Organization
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Legal Business Name | GINA GRECO-TARTAGLIA, MD PC
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 225 VETERANS RD SUITE 102
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4436
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Country | US
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Telephone | 914-245-4186
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Fax |
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Provider Business Mailing Address
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Address Line | 225 VETERANS RD SUITE 102
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4436
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Country | US
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Telephone | 914-245-4186
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GINA GRECO-TARTAGLIA
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Credential | M.D.
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Telephone | 914-736-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 197307
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License Number State | NY
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