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General NPI Number Information
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NPI Number | 1477746626
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Entity Type | Organization
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Legal Business Name | LASER AND CORNEAL SURGERY ASSOCIATES, PC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 437 5TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-2205
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Country | US
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Telephone | 212-832-2020
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Fax | 212-832-9739
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Provider Business Mailing Address
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Address Line | 437 5TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-2205
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Country | US
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Telephone | 212-931-5110
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Fax | 212-832-9739
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK GEORGE SPEAKER
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Credential |
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Telephone | 212-931-5110
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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 |
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License Number State |
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