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General NPI Number Information
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NPI Number | 1679195077
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Entity Type | Organization
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Legal Business Name | NEW YORK RHEUMATOLOGY CARE, PC
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 1020 PARK AVE FL 1
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City | NEW YORK
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State | NY
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Zip | 10028-0913
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Country | US
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Telephone | 646-719-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E 68TH ST OFC 8
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City | NEW YORK
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State | NY
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Zip | 10065-5718
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Country | US
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Telephone | 646-719-0602
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Fax | 888-325-1761
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETROS EFTHIMIOU
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Credential | MD
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Telephone | 646-719-0602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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