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General NPI Number Information
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NPI Number | 1548730062
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Entity Type | Organization
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Legal Business Name | KETAFUZE PSYCHIATRIC SERVICES PC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 115 BROADWAY STE 1800
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City | NEW YORK
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State | NY
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Zip | 10006-1652
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Country | US
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Telephone | 646-799-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 1732 1ST AVE # 20710
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City | NEW YORK
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State | NY
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Zip | 10128-5177
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Country | US
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Telephone | 212-804-7500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FATIH OZBAY
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Credential | MD
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Telephone | 212-804-7500
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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 |
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License Number State |
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