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General NPI Number Information
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NPI Number | 1285040568
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Entity Type | Organization
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Legal Business Name | AMY BLEYER MD PLLC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 166 5TH AVE 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-5909
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Country | US
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Telephone | 212-210-6237
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Fax | 646-786-3690
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Provider Business Mailing Address
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Address Line | 145 W 27TH ST APT 5E
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City | NEW YORK
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State | NY
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Zip | 10001-6204
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Country | US
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Telephone | 212-210-6237
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Fax | 646-786-3690
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. AMY B BLEYER
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Credential | MD
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Telephone | 212-210-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 223699
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License Number State | NY
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