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General NPI Number Information
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NPI Number | 1346027794
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Entity Type | Organization
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Legal Business Name | MANHATTAN PAIN MEDICINE AND REHABILITATION
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 2 5TH AVENUE, SUITE 7
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 646-580-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 2 5TH AVENUE, SUITE 7
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 646-580-3538
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JASON SIEFFERMAN
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Credential | MD
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Telephone | 646-580-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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