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General NPI Number Information
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NPI Number | 1639512478
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Entity Type | Individual
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Provider Name | PETER MARTIN EINERSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1010 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0130
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Country | US
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Telephone | 212-879-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 315 JAY ST
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City | KATONAH
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State | NY
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Zip | 10536-3708
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Country | US
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Telephone | 914-523-6713
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 305680
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License Number State | NY
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