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General NPI Number Information
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NPI Number | 1396849584
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Entity Type | Organization
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Legal Business Name | NEW YORK CORNEA, PLLC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 635 W 165TH ST SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10032-3724
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Country | US
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Telephone | 212-305-3378
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Fax | 212-781-1188
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Provider Business Mailing Address
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Address Line | 635 W 165TH ST SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10032-3724
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Country | US
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Telephone | 212-305-3378
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Fax | 212-781-1188
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. NANCY I FAN-PAUL
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Credential | M.D.
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Telephone | 212-305-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 204187-1
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License Number State | NY
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