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General NPI Number Information
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NPI Number | 1285078402
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Entity Type | Organization
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Legal Business Name | MADISON OPHTHALMOLOGY, PLLC
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 161 MADISON AVENUE SUITE 5SE
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-448-0101
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Fax | 212-656-1379
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Provider Business Mailing Address
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Address Line | 161 MADISON AVENUE SUITE 5SE
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-448-0101
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Fax | 212-656-1379
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | DR. JOSHUA ABBA YOUNG
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Credential | M.D.
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Telephone | 212-448-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | NY
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