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General NPI Number Information
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NPI Number | 1306428750
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Entity Type | Organization
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Legal Business Name | RETINA GROUP P.C.
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 140 E 80TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-0306
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Country | US
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Telephone | 718-798-3030
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Fax | 718-519-0603
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Provider Business Mailing Address
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Address Line | 2221 BOSTON RD
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City | BRONX
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State | NY
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Zip | 10467-9005
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Country | US
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Telephone | 718-798-3030
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | ALLISON MAY
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Credential |
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Telephone | 516-442-2362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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