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General NPI Number Information
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NPI Number | 1588820526
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Entity Type | Organization
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Legal Business Name | MENDELSOHN ENDOCRINOLOGY, LLC
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 134 E 73RD ST
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City | NEW YORK
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State | NY
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Zip | 10021-4208
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Country | US
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Telephone | 212-327-3007
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Fax | 212-327-3008
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Provider Business Mailing Address
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Address Line | 3515 HENRY HUDSON PKWY #10E
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City | BRONX
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State | NY
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Zip | 10463-1326
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Country | US
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Telephone | 917-502-6822
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. FELICIA ANN MENDELSOHN
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Credential | M.D.
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Telephone | 917-502-6822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 046809
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 60238947
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License Number State | NY
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