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General NPI Number Information
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NPI Number | 1427555846
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Entity Type | Individual
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Provider Name | AMY DANIELLE BIRNBAUM
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 55 E 86TH ST # 1A
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City | NEW YORK
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State | NY
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Zip | 10028-1059
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Country | US
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Telephone | 212-348-3636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941
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City | ITHACA
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State | NY
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Zip | 14851-0941
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Country | US
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Telephone | 212-348-3636
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Fax | 855-941-2548
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 327115
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License Number State | NY
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Taxonomy #3
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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 |
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License Number State |
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