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General NPI Number Information
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NPI Number | 1285632505
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Entity Type | Organization
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Legal Business Name | MARTIN HURWITZ MD PC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 10/13/2007
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Provider Practice Location Address
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Address Line | 124 E 84TH ST 3A
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City | NEW YORK
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State | NY
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Zip | 10028-0915
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Country | US
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Telephone | 212-988-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E 84TH ST 3A
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City | NEW YORK
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State | NY
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Zip | 10028-0915
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Country | US
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Telephone | 212-988-7563
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN HURWITZ
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Credential | MD
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Telephone | 212-988-7563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 092365
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License Number State | NY
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