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General NPI Number Information
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NPI Number | 1467955609
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Entity Type | Organization
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Legal Business Name | NEW YORK OPHTHALMOLOGY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 162 W 56TH ST STE 207
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City | NEW YORK
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State | NY
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Zip | 10019-8010
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Country | US
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Telephone | 212-459-0001
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Fax | 212-459-1090
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Provider Business Mailing Address
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Address Line | 162 W 56TH ST STE 207
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City | NEW YORK
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State | NY
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Zip | 10019-8010
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Country | US
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Telephone | 212-459-0001
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Fax | 212-459-1090
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Authorized Official
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Title or Position | OWNER
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Name | KAREN ALLISON
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Credential | M.D.
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Telephone | 212-459-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 195772
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License Number State | NY
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