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General NPI Number Information
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NPI Number | 1568037257
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Entity Type | Organization
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Legal Business Name | BIENETRE MEDICAL PC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 99 HUDSON ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10013-2993
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Country | US
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Telephone | 646-443-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 99 HUDSON ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10013-2993
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | LEONI RUNGE
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Credential |
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Telephone | 646-705-5430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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