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General NPI Number Information
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NPI Number | 1285800789
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Entity Type | Organization
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Legal Business Name | HENRY FERSTENBERG, MD PC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 20 EAST 46TH STREET 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-9249
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Country | US
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Telephone | 212-768-0562
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Fax | 516-877-8119
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Provider Business Mailing Address
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Address Line | 20 EAST 46TH STREET 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-9249
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Country | US
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Telephone | 212-768-0562
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Fax | 516-877-8119
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY FERSTENBERG
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Credential | M.D.
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Telephone | 212-768-0562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 139924
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License Number State | NY
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