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General NPI Number Information
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NPI Number | 1457903114
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Entity Type | Organization
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Legal Business Name | DOWNTOWN PHYSICIANS P.C.
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 80 MAIDEN LANE SUITE 905
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City | NEW YORK
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State | NY
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Zip | 10038-4675
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Country | US
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Telephone | 212-404-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 80 MAIDEN LN RM 905
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City | NEW YORK
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State | NY
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Zip | 10038
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Country | US
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Telephone | 212-404-8070
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Fax | 212-404-8069
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL KHAIMOV
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Credential | MD
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Telephone | 212-404-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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