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General NPI Number Information
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NPI Number | 1427391754
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Entity Type | Individual
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Provider Name | ISAAC LIVSHETZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 122 MAPLE AVE FL 8
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4706
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Country | US
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Telephone | 914-849-7897
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Fax |
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Provider Business Mailing Address
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Address Line | 222 WESTCHESTER AVE STE 101
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City | WEST HARRISON
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State | NY
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Zip | 10604-2923
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Country | US
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Telephone | 617-835-5450
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 291966
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 291966
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License Number State | NY
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