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General NPI Number Information
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NPI Number | 1588747901
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Entity Type | Organization
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Legal Business Name | ANTHONY P. GERACI, MD, PC
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 233 BROADWAY 2165
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City | NEW YORK
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State | NY
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Zip | 10279-2899
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Country | US
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Telephone | 212-227-2368
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Fax | 212-227-2369
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Provider Business Mailing Address
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Address Line | 233 BROADWAY 2165
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City | NEW YORK
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State | NY
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Zip | 10279-2899
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Country | US
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Telephone | 212-227-2368
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Fax | 212-227-2369
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY PAUL GERACI
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Credential | M.D.
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Telephone | 212-227-2368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 203356
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License Number State | NY
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