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General NPI Number Information
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NPI Number | 1700047636
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Entity Type | Organization
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Legal Business Name | NEW YORK PRESBYTERIAN HOSPITAL
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 205 PINEHURST AVE APT 6K
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 917-270-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 205 PINEHURST AVE APT 6K
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 917-270-1144
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Fax |
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Authorized Official
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Title or Position | HOUSESTAFF-PSYCHIATRY
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Name | DR. SONYA LOUISE MARTIN
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Credential | M.D.
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Telephone | 917-270-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 390200000X
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License Number State |
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