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General NPI Number Information
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NPI Number | 1255682795
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Entity Type | Organization
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Legal Business Name | HOWARD A KIERNAN MD PC
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 903 PARK AVE FL 1
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City | NEW YORK
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State | NY
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Zip | 10075-0362
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Country | US
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Telephone | 212-602-1800
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Fax | 212-535-4796
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Provider Business Mailing Address
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Address Line | 903 PARK AVE FL 1
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City | NEW YORK
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State | NY
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Zip | 10075-0362
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Country | US
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Telephone | 212-602-1800
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Fax | 212-535-4796
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD A KIERNAN
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Credential | MD PC
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Telephone | 212-602-1800
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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 | 099298
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License Number State | NY
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