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General NPI Number Information
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NPI Number | 1467822031
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Entity Type | Organization
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Legal Business Name | VOORHIES MEDICAL PLLC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 24 E 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4513
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Country | US
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Telephone | 917-880-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 24 E 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4513
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. ALFRED SHTAINER
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Credential |
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Telephone | 917-880-8487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 178938
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License Number State | NY
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