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General NPI Number Information
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NPI Number | 1609279975
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Entity Type | Organization
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Legal Business Name | BRONX PULMONARY MEDICAL,PLLC
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 441 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10457-4301
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Country | US
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Telephone | 718-583-9240
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Fax | 718-299-6065
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Provider Business Mailing Address
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Address Line | 441 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10457-4301
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Country | US
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Telephone | 718-583-9240
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Fax | 718-299-6065
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MONROE KARETZKY
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Credential | M.D.
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Telephone | 718-583-9249
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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 | 092766
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License Number State | NY
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