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General NPI Number Information
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NPI Number | 1700860327
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Entity Type | Organization
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Legal Business Name | NEW YORK-NEW JERSEY ANESTHESIA ASSOCIATED, PLLC
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 132 E 76TH ST SUITE 2 G
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City | NEW YORK
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State | NY
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Zip | 10021-2850
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Country | US
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Telephone | 212-794-0833
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48180
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City | NEWARK
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State | NJ
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Zip | 07101-4800
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JILL S YOUNG
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Credential |
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Telephone | 212-794-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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