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General NPI Number Information
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NPI Number | 1346663051
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Entity Type | Organization
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Legal Business Name | GOTHAM EYE MEDICAL, P.C.
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 329 E 149TH ST FL 2
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City | BRONX
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State | NY
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Zip | 10451-5626
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Country | US
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Telephone | 718-585-5500
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Fax | 718-585-5502
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Provider Business Mailing Address
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Address Line | 8 WARREN ST FL 10
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City | NEW YORK
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State | NY
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Zip | 10007-0081
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Country | US
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Telephone | 917-494-3787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL SURESH PATEL
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Credential |
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Telephone | 718-585-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 242732
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License Number State | NY
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