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General NPI Number Information
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NPI Number | 1346276748
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Entity Type | Organization
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Legal Business Name | ADVANCED DERMATOLOGY OF WESTCHESTER, PLLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 150 WHITE PLAINS RD STE210
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City | TARRYTOWN
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State | NY
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Zip | 10591-5535
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Country | US
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Telephone | 914-631-4666
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Fax | 914-631-4669
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Provider Business Mailing Address
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Address Line | 150 WHITE PLAINS RD STE210
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City | TARRYTOWN
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State | NY
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Zip | 10591-5535
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Country | US
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Telephone | 914-631-4666
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Fax | 914-631-4669
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JEFFREY HOWARD STURZA
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Credential | M.D.
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Telephone | 914-631-4666
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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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