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General NPI Number Information
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NPI Number | 1386697043
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Entity Type | Organization
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Legal Business Name | ANDREW GLYPTIS, MD, PC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 330 W 58TH ST STE. 413
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City | NEW YORK
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State | NY
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Zip | 10019-1827
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Country | US
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Telephone | 212-333-3347
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Fax | 212-262-5120
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Provider Business Mailing Address
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Address Line | PO BOX 167
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City | BRONX
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State | NY
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Zip | 10471-0167
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Country | US
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Telephone | 212-333-3347
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Fax | 212-262-5120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW GLYPTIS
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Credential | MD
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Telephone | 212-333-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 199198
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License Number State | NY
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