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General NPI Number Information
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NPI Number | 1437473170
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Entity Type | Organization
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Legal Business Name | MIDTOWN ANESTHESIA PC
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 227 EAST 56TH STREET
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City | NEW YORK
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State | NY
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Zip | 10022-3733
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Country | US
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Telephone | 646-558-3613
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Fax | 716-242-1912
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Provider Business Mailing Address
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Address Line | 227 EAST 56TH STREET
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City | NEW YORK
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State | NY
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Zip | 10022-3733
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Country | US
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Telephone | 646-558-3613
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Fax | 716-242-1912
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Authorized Official
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Title or Position | TREASURER
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Name | DOMINICK CANNAVO
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Credential |
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Telephone | 646-558-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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