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General NPI Number Information
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NPI Number | 1700327483
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Entity Type | Organization
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Legal Business Name | AAS PHYSIATRY, PC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 18 E 41ST ST SUITE 2002
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 646-481-4998
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Fax |
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Provider Business Mailing Address
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Address Line | 18 E 41ST ST SUITE 2002
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 646-481-4998
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GAUTAM SHRIKHANDE
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Credential | M.D.
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Telephone | 646-300-0307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 263950
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License Number State | NY
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