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General NPI Number Information
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NPI Number | 1598179608
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Entity Type | Organization
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Legal Business Name | VINCI HEALTH MEDICAL P.C.
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 20 E 46TH ST FL 7
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City | NEW YORK
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State | NY
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Zip | 10017-9282
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Country | US
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Telephone | 212-390-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 75 OCEANA DR E APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11235-6671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGOR OSTROVSKY
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Credential | M.D.
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Telephone | 212-390-1727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A200155-1
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License Number State | NY
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