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General NPI Number Information
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NPI Number | 1508151762
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Entity Type | Individual
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Provider Name | GIANCARLO COLON VILAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 10 NATHAN PERLMAN STREET BERNSTEIN BUILDING
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-844-1543
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Fax | 212-420-3936
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Provider Business Mailing Address
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Address Line | 131 E 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10010-4510
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Country | US
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Telephone | 787-529-6048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 69537
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M-15337
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License Number State | ID
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