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General NPI Number Information
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NPI Number | 1336524784
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Entity Type | Organization
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Legal Business Name | EAST 68TH STREET GASTROENTEROLOGICAL AMBULATORY ENDOSCOPY, P.C.
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 1 E 68TH ST STE 1E
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City | NEW YORK
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State | NY
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Zip | 10065-4905
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Country | US
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Telephone | 212-570-6945
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Fax | 212-472-7687
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Provider Business Mailing Address
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Address Line | 1 E 68TH ST STE 1E
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City | NEW YORK
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State | NY
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Zip | 10065-4905
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Country | US
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Telephone | 212-570-6945
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Fax | 212-472-7687
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEYER N. SOLNY
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Credential | M.D.
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Telephone | 212-570-6945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CERT# 3262
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License Number State | NY
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