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General NPI Number Information
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NPI Number | 1649502519
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Entity Type | Organization
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Legal Business Name | NEW CITY VISION INC
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 150 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10003-5715
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Country | US
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Telephone | 212-780-6080
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Fax | 212-780-6082
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Provider Business Mailing Address
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Address Line | 150 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10003-5715
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Country | US
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Telephone | 212-780-6080
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Fax | 212-780-6082
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Authorized Official
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Title or Position | OFFICER
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Name | NATAN DORFMAN
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Credential | OD
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Telephone | 212-780-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 006137
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License Number State | NY
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