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General NPI Number Information
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NPI Number | 1467576975
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Entity Type | Organization
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Legal Business Name | MANHATTAN ENDOCRINOLOGIST PLLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 130 W 12TH ST SUITE 7D
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City | NEW YORK
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State | NY
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Zip | 10011-8271
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Country | US
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Telephone | 212-675-9332
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Fax | 212-604-3844
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Provider Business Mailing Address
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Address Line | 130 W 12TH ST SUITE 7D
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City | NEW YORK
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State | NY
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Zip | 10011-8271
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Country | US
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Telephone | 212-675-9332
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Fax | 212-604-3844
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | DR. OLGA LEONARDI
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Credential |
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Telephone | 718-302-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 2257241
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License Number State | NY
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