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General NPI Number Information
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NPI Number | 1700527017
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Entity Type | Individual
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Provider Name | IGOR DOMBROVSKY MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 301 E 17TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-3804
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Country | US
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Telephone | 617-335-1463
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Fax |
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Provider Business Mailing Address
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Address Line | 210 W 103RD ST APT 5G
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City | NEW YORK
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State | NY
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Zip | 10025-8730
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Country | US
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Telephone | 212-598-6110
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 335445
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License Number State | NY
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