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General NPI Number Information
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NPI Number | 1477859544
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Entity Type | Organization
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Legal Business Name | NYNJ PSYCHIATRIC ASSOCIATES LLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 51 JFK PARKWAY 1ST FLOOR WEST
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2713
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Country | US
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Telephone | 917-582-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 51 JFK PARKWAY 1ST FLOOR WEST
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 917-582-6622
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PANKAJ BHANDARI
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Credential | M.D.
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Telephone | 917-582-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08137700
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License Number State | NJ
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