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NPI 1659177038

NPI 1659177038 : CATHERINE MARIE SYFERT AA : MELVILLE, NY

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General NPI Number Information
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    NPI Number           |    1659177038
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE MARIE SYFERT AA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/24/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    1305 WALT WHITMAN RD STE 300 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-4300
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    Country              |    US
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    Telephone            |    516-945-3368
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13624 DESSAU RD APT 2302 
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    City                 |    PFLUGERVILLE
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    State                |    TX
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    Zip                  |    78660-7079
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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    |    
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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        |    367H00000X
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    Taxonomy Name        |    Anesthesiologist Assistant
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    License Number       |    
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    License Number State |    
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