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General NPI Number Information
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NPI Number | 1467727453
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Entity Type | Organization
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Legal Business Name | DR. INGRID VEISS MEDICAL PRACTICE PC
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 944 N BROADWAY SUITE 208
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City | YONKERS
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State | NY
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Zip | 10701-1304
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Country | US
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Telephone | 914-226-8555
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Fax | 914-207-8501
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Provider Business Mailing Address
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Address Line | 119B FENIMORE RD
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City | MAMARONECK
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State | NY
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Zip | 10543-3502
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Country | US
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Telephone | 914-226-8555
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Fax | 914-207-8501
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Authorized Official
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Title or Position | OWNER
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Name | DR. INGRID VEISS
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Credential | MD
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Telephone | 914-777-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2254031
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License Number State | NY
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