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General NPI Number Information
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NPI Number | 1285661868
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Entity Type | Individual
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Provider Name | VINCENT J PALUSCI MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 462 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 125-626-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E 38TH ST APT 9D
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City | NEW YORK
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State | NY
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Zip | 10016-2609
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Country | US
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Telephone | 212-697-0802
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Fax |
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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 | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | 163299
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 163299
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License Number State | NY
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