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General NPI Number Information
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NPI Number | 1508032426
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Entity Type | Organization
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Legal Business Name | COMPLETE MEDICAL CARE SERVICES OF NEW YORK, PC
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 19 E 37TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-3005
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Country | US
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Telephone | 212-239-2112
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Fax | 212-239-4224
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Provider Business Mailing Address
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Address Line | 19 E 37TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-3005
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Country | US
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Telephone | 212-239-2112
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Fax | 212-239-4224
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Authorized Official
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Title or Position | PRES
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Name | ARIC HAUSKNECHT
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Credential | MD
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Telephone | 212-239-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 190271
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License Number State | NY
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