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General NPI Number Information
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NPI Number | 1366596967
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Entity Type | Organization
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Legal Business Name | LINCOLN HOSPITAL
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 234 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 178-579-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 367 SUMMIT AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10552-2225
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Country | US
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Telephone | 914-667-9502
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Fax | 914-328-6449
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MR. JONATHAN E. SILVER
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Credential | PA-C
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Telephone | 718-579-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number | 005661-1
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License Number State | NY
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