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General NPI Number Information
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NPI Number | 1316645161
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY CONSULTING OF WESTCHESTER, PLLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 688 WHITE PLAINS RD STE 221
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City | SCARSDALE
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State | NY
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Zip | 10583-5015
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Country | US
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Telephone | 914-725-8688
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Fax |
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Provider Business Mailing Address
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Address Line | 435 WYNNEWOOD RD
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City | PELHAM
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State | NY
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Zip | 10803-2319
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Country | US
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Telephone | 914-584-2687
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. JOESPH LIBERATORE
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Credential |
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Telephone | 914-584-2687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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