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General NPI Number Information
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NPI Number | 1679499172
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Entity Type | Organization
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Legal Business Name | NEW YORK UNIVERSITY
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 4074 NORTHLAKE BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6257
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Country | US
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Telephone | 561-209-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 4074 NORTHLAKE BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6257
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Country | US
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Telephone | 561-209-6900
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Fax |
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Authorized Official
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Title or Position | SR VP FOR CLINICAL AFFAIRS
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Name | ANDREW RUBIN
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Credential |
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Telephone | 212-263-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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