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General NPI Number Information
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NPI Number | 1437470945
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Entity Type | Organization
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Legal Business Name | NEW YORK INDEPENDENT PRACTICE OF ANESTHESIA, PC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 45 PARK AVE SUITE 1202
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City | NEW YORK
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State | NY
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Zip | 10016-3491
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Country | US
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Telephone | 347-763-0063
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Fax | 347-763-0276
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Provider Business Mailing Address
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Address Line | 45 PARK AVE SUITE 1202
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City | NEW YORK
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State | NY
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Zip | 10016-3491
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Country | US
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Telephone | 347-763-0063
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Fax | 347-763-0276
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUZANNE G YU
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Credential | M.D.
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Telephone | 917-582-7596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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