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General NPI Number Information
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NPI Number | 1588125819
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Entity Type | Individual
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Provider Name | ALLEGRA LEE FIERRO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 11 CATALPA LN
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City | STONY BROOK
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State | NY
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Zip | 11790-2107
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Country | US
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Telephone | 646-335-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W 72ND ST APT 4E1
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City | NEW YORK
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State | NY
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Zip | 10023-3259
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Country | US
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Telephone | 646-335-3022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 318922
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License Number State | NY
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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 | 318922
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License Number State | NY
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