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General NPI Number Information
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NPI Number | 1659718047
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Entity Type | Individual
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Provider Name | ALEKSEY MARYANSKY D.O
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Gender | Male
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Dates
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Enumeration Date | 05/27/2013
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 718-226-9292
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Fax | 718-226-8142
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Provider Business Mailing Address
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Address Line | BOX 5-24
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City | NEW YORK
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State | NY
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Zip | 10087-5024
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Country | US
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Telephone | 800-627-4470
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Fax | 412-937-5710
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 292839
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License Number State | NY
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