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General NPI Number Information
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NPI Number | 1528377645
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Entity Type | Organization
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Legal Business Name | ADVANCED HOLISTIC GROUP
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 200 PARK AVE SOUTH SUITE 1103
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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 | 212-253-5501
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Fax | 212-253-5502
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Provider Business Mailing Address
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Address Line | 200 PARK AVE SOUTH SUITE 1103
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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 | 212-253-5501
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Fax | 212-253-5502
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Authorized Official
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Title or Position | INTERNAL MEDICINE
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Name | DR. SABRINA BARBARA OSTOLSKI
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Credential | DO
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Telephone | 212-253-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 210823
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 210823
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 210823
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License Number State | NY
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