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General NPI Number Information
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NPI Number | 1538458252
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Entity Type | Organization
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Legal Business Name | NYU LANGONE MEDICAL CENTER
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 660 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-3295
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Country | US
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Telephone | 212-263-6246
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 E 63RD ST
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City | BROOKLYN
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State | NY
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Zip | 11234-6918
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Country | US
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Telephone | 718-872-5444
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | IRINA LIKHT
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Credential | PA
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Telephone | 646-436-9837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 009099
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License Number State | NY
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