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NPI 1700084100

NPI 1700084100 : KEVIN M TROY MD PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1700084100
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    Entity Type          |    Organization 
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    Legal Business Name  |    KEVIN M TROY MD PC 
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Dates
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    Enumeration Date     |    07/06/2007
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    Last Update Date     |    10/22/2009
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Provider Practice Location Address
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    Address Line         |    1735 YORK AVE SUITE P2
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-6855
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    Country              |    US
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    Telephone            |    212-860-9055
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    Fax                  |    212-348-0018
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Provider Business Mailing Address
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    Address Line         |    1735 YORK AVE SUITE P2
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-6855
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    Country              |    US
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    Telephone            |    212-860-9055
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    Fax                  |    212-348-0018
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. KEVIN M TROY 
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    Credential           |    MD
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    Telephone            |    212-860-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0000X
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    Taxonomy Name        |    Hematology (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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