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General NPI Number Information
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NPI Number | 1356599658
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Entity Type | Organization
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Legal Business Name | EAST COAST FERTILITY,PC
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1725 E 12TH ST SUITE 401
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City | BROOKLYN
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State | NY
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Zip | 11229-1028
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Country | US
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Telephone | 718-998-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 E 12TH ST SUITE 401
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City | BROOKLYN
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State | NY
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Zip | 11229-1028
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Country | US
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Telephone | 718-998-7751
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Fax |
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MARYANNE ABRAMOWITZ
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Credential |
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Telephone | 516-939-6695
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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 | 204749
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 151798
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License Number State | NY
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