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General NPI Number Information
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NPI Number | 1649727728
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Entity Type | Organization
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Legal Business Name | NYU LANGONE MEDICAL CENTER
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 317E 34TH ST., PEDIATRIC NEUROSURGERY, 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 718-501-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 11006 72ND AVE., APT 3A FOREST HILLS
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City | NEW YORK
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-501-1787
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Fax |
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Authorized Official
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Title or Position | TRAINING PROGRAM SPECIALIST
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Name | SALLY HENNESSY
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Credential |
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Telephone | 212-263-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 99327
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License Number State | ZZ
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