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General NPI Number Information
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NPI Number | 1467873349
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Entity Type | Organization
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Legal Business Name | FLATIRON PEDIATRICS, PC
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 27 E 22ND ST
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City | NEW YORK
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State | NY
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Zip | 10010-5300
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Country | US
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Telephone | 212-460-5600
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Fax | 888-526-5461
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Provider Business Mailing Address
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Address Line | 27 E 22ND ST
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City | NEW YORK
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State | NY
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Zip | 10010-5300
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Country | US
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Telephone | 212-460-5600
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | VICTORIA RIESE
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Credential | MD
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Telephone | 212-460-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 254728
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License Number State | NY
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