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General NPI Number Information
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NPI Number | 1417446790
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Entity Type | Individual
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Provider Name | DHRISTIE BHAGAT MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 505 E 70TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10021-4872
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Country | US
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Telephone | 212-263-5506
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Fax |
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Provider Business Mailing Address
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Address Line | POBOX 29751 GPO
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City | NEW YORK
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State | NY
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Zip | 10087-9751
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 331604
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 331604
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License Number State | NY
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