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General NPI Number Information
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NPI Number | 1508920521
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Entity Type | Organization
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Legal Business Name | NEW YORK INSTITUTE OF SAME DAY SURGERY
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 99 DUTCH HILL RD
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City | ORANGEBURG
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State | NY
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Zip | 10962-2106
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Country | US
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Telephone | 845-359-9000
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Fax | 845-359-0729
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Provider Business Mailing Address
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Address Line | 99 DUTCH HILL RD
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City | ORANGEBURG
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State | NY
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Zip | 10962-2106
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Country | US
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Telephone | 845-359-9000
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Fax | 845-359-0729
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | AYMAN Z. MATTA
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Credential |
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Telephone | 845-359-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 215965-1
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License Number State | NY
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