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General NPI Number Information
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NPI Number | 1437400017
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Entity Type | Organization
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Legal Business Name | MEDICAL OFFICE OF MANHATTAN
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 211 E 51ST ST
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City | NEW YORK
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State | NY
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Zip | 10022-6526
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Country | US
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Telephone | 212-906-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E 51ST ST
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City | NEW YORK
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State | NY
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Zip | 10022-6526
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Country | US
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Telephone | 212-906-7798
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT R SEGAL
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Credential | MD
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Telephone | 212-906-7798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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