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General NPI Number Information
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NPI Number | 1629218938
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Entity Type | Organization
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Legal Business Name | ROBERT P. PITERA M.D., P.C.
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 118 E 57TH ST THIRD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-2663
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Country | US
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Telephone | 212-947-2626
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Fax | 212-755-0265
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Provider Business Mailing Address
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Address Line | 118 E 57TH ST THIRD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-2663
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Country | US
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Telephone | 212-947-2626
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Fax | 212-755-0265
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT P. PITERA
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Credential | M.D.
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Telephone | 212-947-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 188767
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 188767
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License Number State | NY
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