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NPI 1417137050

NPI 1417137050 : GARY H. ALBERT, M.D.P.C : NEW HYDE PARK, NY

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General NPI Number Information
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    NPI Number           |    1417137050
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    Entity Type          |    Organization 
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    Legal Business Name  |    GARY H. ALBERT, M.D.P.C 
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Dates
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    Enumeration Date     |    11/12/2007
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    Last Update Date     |    11/12/2007
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Provider Practice Location Address
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    Address Line         |    2001 MARCUS AVE SUITE NORTH 1
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11042-1011
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    Country              |    US
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    Telephone            |    516-352-5231
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    Fax                  |    516-437-1093
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Provider Business Mailing Address
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    Address Line         |    2001 MARCUS AVE SUITE NORTH 1
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11042-1011
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    Country              |    US
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    Telephone            |    516-352-5231
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    Fax                  |    516-437-1093
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GARY H. ALBERT 
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    Credential           |    M.D.
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    Telephone            |    516-352-5231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    118275
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    License Number State |    NY
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