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General NPI Number Information
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NPI Number | 1457533093
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Entity Type | Organization
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Legal Business Name | BRASNER BLUMBERG & AMARU MD LLP
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 1125 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1243
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Country | US
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Telephone | 917-492-9200
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Fax | 917-492-8129
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Provider Business Mailing Address
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Address Line | 1125 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1243
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Country | US
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Telephone | 917-492-9200
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Fax | 917-492-8129
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | QUIANA SHANTEL MCCOOK
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Credential |
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Telephone | 917-492-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 217924
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 216565
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 191295
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License Number State | NY
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