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General NPI Number Information
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NPI Number | 1649927369
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Entity Type | Organization
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Legal Business Name | STRAWTOWN MEDICAL PC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 2 STRAWTOWN RD STE 6
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City | WEST NYACK
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State | NY
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Zip | 10994-1820
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Country | US
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Telephone | 305-720-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 2 STRAWTOWN RD STE 6
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City | WEST NYACK
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State | NY
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Zip | 10994-1820
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUDSON NEWMAN KROSNEY
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Credential | MD
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Telephone | 305-720-6930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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