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General NPI Number Information
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NPI Number | 1427517473
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Entity Type | Individual
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Provider Name | MARIA KOFMAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 47 NEW SCOTLAND AVENUE, DEPT. OF NEUROLOGY
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City | ALBANY
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State | NY
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Zip | 12208
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Country | US
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Telephone | 518-262-5226
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 64184
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MB12419100
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License Number State | NJ
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