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General NPI Number Information
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NPI Number | 1275670705
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY ALATRISTE MLDT-CLT
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 153 W 27TH ST STE 404
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City | NEW YORK
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State | NY
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Zip | 10001-0399
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Country | US
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Telephone | 212-691-0330
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Fax | 212-691-0880
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Provider Business Mailing Address
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Address Line | 124 GROVE AVE UNIT 86
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City | CEDARHURST
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State | NY
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Zip | 11516-4004
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Country | US
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Telephone | 212-691-0330
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Fax | 212-691-0880
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State | NY
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