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General NPI Number Information
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NPI Number | 1588601793
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Entity Type | Individual
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Provider Name | ROBERT GARY JOSEPHBERG MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 984 NORTH BROADWAY SUITE 511
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City | YONKERS
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State | NY
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Zip | 10701-1308
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Country | US
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Telephone | 914-965-2526
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Fax | 914-965-2527
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Provider Business Mailing Address
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Address Line | 11 TANGLEWOOD CIR
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-2551
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Country | US
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Telephone | 914-923-2392
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Fax | 914-965-2527
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 33921
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 134320
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 134320
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number | 134320
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 134320
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License Number State | NY
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