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General NPI Number Information
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NPI Number | 1558426080
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Entity Type | Organization
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Legal Business Name | MAISEL & OSBORNE MD PLLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2426 EASTCHESTER RD SUITE 203
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City | BRONX
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State | NY
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Zip | 10469-5916
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Country | US
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Telephone | 718-708-7142
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 520
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City | MOUNT VERNON
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State | NY
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Zip | 10552-0520
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Country | US
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Telephone | 845-708-0900
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. LOUIS M MAISEL
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Credential | MD
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Telephone | 845-708-0900
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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 | 178980
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License Number State | NY
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