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General NPI Number Information
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NPI Number | 1568769776
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY UROLOGY OF NEW YORK, PC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 115 E 67TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10065-5990
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Country | US
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Telephone | 718-499-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 376 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-3336
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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 | TREASURER
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Name | JUDE BARBERA
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Credential |
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Telephone | 718-499-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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