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General NPI Number Information
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NPI Number | 1396815478
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CONSULTANTS OF NEW YORK, P.C
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 650 1ST AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10016-3240
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Country | US
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Telephone | 212-231-9580
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Fax |
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Provider Business Mailing Address
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Address Line | 650 1ST AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10016-3240
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Country | US
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Telephone | 212-231-9580
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. HAROLD WEINBERG
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Credential | MD
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Telephone | 212-213-9580
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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 | 126614
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License Number State | NY
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