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General NPI Number Information
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NPI Number | 1578680179
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SPECIALISTS OF GREATER NEW YORK, P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 39 E 69TH ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-4917
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Country | US
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Telephone | 212-744-1121
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Fax | 212-744-8494
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Provider Business Mailing Address
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Address Line | 39 E 69TH ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-4917
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Country | US
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Telephone | 212-744-1121
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Fax | 212-744-8494
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THOMAS A SCILARIS
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Credential | M.D.
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Telephone | 212-744-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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