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NPI 1285806539

NPI 1285806539 : ARTHUR A KORNBLUTH MD PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1285806539
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARTHUR A KORNBLUTH MD PC 
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Dates
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    Enumeration Date     |    03/27/2008
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    Last Update Date     |    11/17/2015
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Provider Practice Location Address
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    Address Line         |    1150 5TH AVE SUITE 1B
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-0724
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    Country              |    US
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    Telephone            |    212-369-2490
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    Fax                  |    212-831-3031
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Provider Business Mailing Address
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    Address Line         |    1150 5TH AVE SUITE 1B
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-0724
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    Country              |    US
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    Telephone            |    212-369-2490
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    Fax                  |    212-831-3031
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. PETER E LEGNANI 
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    Credential           |    MD
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    Telephone            |    212-369-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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