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General NPI Number Information
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NPI Number | 1497894703
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Entity Type | Organization
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Legal Business Name | NEW YORK COLUMBIA PRESBYTERIAN
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE 629
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-342-3255
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Fax | 212-342-3252
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Provider Business Mailing Address
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Address Line | 2 MARBLE TER
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-2807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MS. JENNIFER ANN JACKSON
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Credential | RPAC
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Telephone | 212-342-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 006236
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License Number State | NY
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