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General NPI Number Information
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NPI Number | 1629757919
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Entity Type | Organization
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Legal Business Name | NEW YORK PATIENT MEDICAL CARE PC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 510 CLINTON SQ
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City | ROCHESTER
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State | NY
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Zip | 14604-1700
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Country | US
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Telephone | 646-263-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 236 5TH AVE STE 400
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City | NEW YORK
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State | NY
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Zip | 10001-7606
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Country | US
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Telephone | 800-852-1575
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | ERIC YECIES
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Credential |
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Telephone | 646-263-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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