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General NPI Number Information
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NPI Number | 1477745743
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Entity Type | Organization
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Legal Business Name | TRIBECA INTERNAL MEDICINE & INFECTIOUS DISEASES
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 122 FULTON ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10038-2765
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Country | US
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Telephone | 212-374-2145
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Fax | 212-374-2159
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Provider Business Mailing Address
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Address Line | 122 FULTON ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10038-2765
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Country | US
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Telephone | 212-374-2145
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Fax | 212-374-2159
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHRISTOPHER BUSILLO
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Credential | MD
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Telephone | 212-374-2145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 179207
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License Number State | NY
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