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NPI 1659663268

NPI 1659663268 : ALAN SHEYMAN : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1659663268
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN SHEYMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2011
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    Last Update Date     |    03/26/2023
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Provider Practice Location Address
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    Address Line         |    140 E 80TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10075
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    Country              |    US
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    Telephone            |    212-772-0600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11045 QUEENS BLVD STE 115 
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375-5519
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    036135460
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    267022
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    267022
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    License Number State |    NY
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