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General NPI Number Information
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NPI Number | 1407089956
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Entity Type | Organization
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Legal Business Name | JEFFREY D. NIGHTINGALE, MD PC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1776 BROADWAY STE 1410
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City | NEW YORK
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State | NY
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Zip | 10019-2007
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Country | US
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Telephone | 212-877-7188
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 BROADWAY STE 1410
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City | NEW YORK
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State | NY
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Zip | 10019-2007
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Country | US
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Telephone | 212-877-7188
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Fax | 212-877-3912
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Authorized Official
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Title or Position | MANAGER
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Name | ANDREW BRADLEY NIGHTINGALE
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Credential | MD
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Telephone | 212-877-7188
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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 | 118287
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License Number State | NY
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