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General NPI Number Information
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NPI Number | 1578549838
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Entity Type | Organization
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Legal Business Name | ANELISE ENGEL MD PC
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 30 CENTRAL PARK S SUITE 2-D
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-223-0437
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Fax | 212-319-6179
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Provider Business Mailing Address
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Address Line | 30 CENTRAL PARK S SUITE 2-D
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-223-0437
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Fax | 212-319-6179
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | ANELISE ENGEL
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Credential |
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Telephone | 212-223-0437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 211830
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License Number State | NY
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