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General NPI Number Information
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NPI Number | 1497829766
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Entity Type | Organization
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Legal Business Name | LESLIE F SEECOOMAR MD PC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 330 W 58TH ST STE 600
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City | NEW YORK
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State | NY
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Zip | 10019-1819
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Country | US
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Telephone | 212-217-9961
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Fax | 212-842-0338
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Provider Business Mailing Address
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Address Line | 330 W 58TH ST STE 600
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City | NEW YORK
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State | NY
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Zip | 10019-1819
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Country | US
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Telephone | 212-217-9961
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Fax | 212-842-0338
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE F SEECOOMAR
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Credential | M.D.
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Telephone | 212-217-9961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 195225
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License Number State | NY
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