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General NPI Number Information
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NPI Number | 1538319652
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Entity Type | Organization
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Legal Business Name | ALEXANDER KORDONSKY, D.D.S., P.C.
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 404 E 66TH ST SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10065-9308
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Country | US
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Telephone | 212-249-1399
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Fax | 212-249-0821
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Provider Business Mailing Address
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Address Line | 404 E 66TH ST SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10065-9308
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Country | US
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Telephone | 212-249-1399
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Fax | 212-249-0821
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER KORDONSKY
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Credential | D.D.S.
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Telephone | 212-249-1399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 045039
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License Number State | NY
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