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General NPI Number Information
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NPI Number | 1679884902
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Entity Type | Organization
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Legal Business Name | EAST RIVER NEUROLOGY, PC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 445 77TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-3205
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Country | US
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Telephone | 718-680-4300
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Fax | 718-921-5417
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Provider Business Mailing Address
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Address Line | 445 77TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-3205
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Country | US
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Telephone | 718-680-4300
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Fax | 718-921-5417
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KATARZYNA JAKUBOWSKA-SADOWSKA
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Credential | M.D,
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Telephone | 718-680-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 228298
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License Number State | NY
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