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General NPI Number Information
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NPI Number | 1679931422
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE GYNECOLOGY OF NEW YORK P.C.
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 14 RYE RIDGE PLZ SUITE 234
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City | RYE BROOK
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State | NY
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Zip | 10573-2826
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Country | US
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Telephone | 914-305-3827
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Fax | 914-935-9047
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Provider Business Mailing Address
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Address Line | 14 RYE RIDGE PLZ SUITE 234
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City | RYE BROOK
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State | NY
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Zip | 10573-2826
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Country | US
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Telephone | 914-305-3827
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Fax | 914-935-9047
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Authorized Official
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Title or Position | OWNER
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Name | DR. HYE EUN KWON
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Credential | M.D
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Telephone | 203-641-0758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 258128
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License Number State | NY
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