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General NPI Number Information
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NPI Number | 1598402711
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Entity Type | Organization
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Legal Business Name | NYC LABORATORIES PR LLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 15 E 40TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-0401
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Country | US
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Telephone | 551-298-3432
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Fax | 212-888-6024
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Provider Business Mailing Address
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Address Line | 560 HUDSON ST FL 3
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City | HACKENSACK
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State | NJ
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Zip | 07601-6655
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Country | US
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Telephone | 201-641-2125
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANDRES ROSA
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Credential |
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Telephone | 201-641-2125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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