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General NPI Number Information
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NPI Number | 1578316501
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Entity Type | Organization
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Legal Business Name | NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 241 NORTH RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1154
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Country | US
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Telephone | 845-483-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST STE 400
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City | EMERYVILLE
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State | CA
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Zip | 94608-1872
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Country | US
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Telephone | 510-851-7501
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DAVID BIRDSALL
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Credential | MD
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Telephone | 510-350-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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