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General NPI Number Information
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NPI Number | 1255657862
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Entity Type | Organization
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Legal Business Name | DOWNTOWN FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 42 BROADWAY SUITE 1530
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City | NEW YORK
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State | NY
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Zip | 10004-1617
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Country | US
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Telephone | 212-482-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 42 BROADWAY SUITE 1530
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City | NEW YORK
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State | NY
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Zip | 10004-1617
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Country | US
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Telephone | 212-482-2400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK E HOROWITZ
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Credential | MD
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Telephone | 212-482-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 159483
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License Number State | NY
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