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NPI 1689057408

NPI 1689057408 : CINDY JOSEPH O.D. : RYE BROOK, NY

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General NPI Number Information
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    NPI Number           |    1689057408
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    Entity Type          |    Individual 
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    Provider Name        |    CINDY JOSEPH O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2015
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    Last Update Date     |    03/06/2024
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Provider Practice Location Address
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    Address Line         |    168 S RIDGE ST SPC 6 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573-5711
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    Country              |    US
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    Telephone            |    914-939-2286
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    Fax                  |    914-939-7029
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Provider Business Mailing Address
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    Address Line         |    168 S RIDGE ST 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573-5711
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    Country              |    US
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    Telephone            |    914-939-0830
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    Fax                  |    914-939-7029
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    56-008293
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    License Number State |    NY
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