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General NPI Number Information
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NPI Number | 1407829856
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Entity Type | Organization
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Legal Business Name | STATE OF NEW YORK COMPTROLLERS OFFICE
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 33 WEST 42ND STREET CLINICAL ADMINISTRATION
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City | NEW YORK
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State | NY
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Zip | 10036-8005
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Country | US
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Telephone | 212-938-4030
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Fax | 212-938-5858
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Provider Business Mailing Address
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Address Line | 33 WEST 42ND STREET CLINICAL ADMINISTRATION
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City | NEW YORK
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State | NY
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Zip | 10036-8005
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Country | US
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Telephone | 212-938-5831
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. MICHAEL MCGOVERN
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Credential | O.D.
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Telephone | 212-938-5946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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