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General NPI Number Information
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NPI Number | 1386803476
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Entity Type | Individual
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Provider Name | JESSICA LICY COHEN-PFEFFER MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | BOX 1497 MOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-2848
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Fax | 212-241-9467
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Provider Business Mailing Address
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Address Line | BOX 1497 MOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-2848
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Fax | 212-241-9467
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | P61736
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License Number State | NY
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