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General NPI Number Information
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NPI Number | 1427502327
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Entity Type | Organization
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Legal Business Name | JAMES M. INZERILLO, MD, PLLC
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 821 PRE EMPTION RD SUITE 200
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City | GENEVA
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State | NY
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Zip | 14456-2061
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Country | US
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Telephone | 315-325-4422
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Fax | 315-325-4373
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Provider Business Mailing Address
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Address Line | 821 PRE EMPTION RD SUITE 200
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City | GENEVA
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State | NY
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Zip | 14456-2061
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Country | US
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Telephone | 315-325-4422
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Fax | 315-325-4373
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Authorized Official
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Title or Position | MEDICAL DIRECTOR /OWNER
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Name | DR. JAMES MICHAEL INZERILLO
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Credential | M.D.
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Telephone | 631-766-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 253084
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License Number State | NY
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