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General NPI Number Information
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NPI Number | 1336262443
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Entity Type | Organization
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Legal Business Name | MIDTOWN UROLOGIC ASSOCIATES P.C.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 120 EAST 34TH STREET
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-686-1140
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Fax | 212-213-0516
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Provider Business Mailing Address
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Address Line | 120 EAST 34TH STREET
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-686-1140
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Fax | 212-213-0516
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. ROBERT SALANT
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Credential | MD
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Telephone | 212-686-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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