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NPI 1326012972

NPI 1326012972 : STEVEN ERIK GINSBERG : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1326012972
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN ERIK GINSBERG
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/13/2006
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    Last Update Date     |    12/18/2007
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Provider Practice Location Address
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    Address Line         |    2391 ARTHUR AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10458-8185
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    Country              |    US
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    Telephone            |    718-365-4141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1041 BAY 32 ST 
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    City                 |    BAYSWATER
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    State                |    NY
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    Zip                  |    11691
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    Country              |    US
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    Telephone            |    
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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        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    N005906-2
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    License Number State |    
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