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General NPI Number Information
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NPI Number | 1700908829
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Entity Type | Organization
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Legal Business Name | THE NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOCIATION OF NEW YORK CI
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 265 ASHLAND PLACE
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City | BROOKLYN
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State | NY
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Zip | 11217
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Country | US
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Telephone | 718-858-7200
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Fax | 718-246-9357
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Provider Business Mailing Address
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Address Line | 305 WEST 44TH ST
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City | NEW YORK
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State | NY
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Zip | 10036
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Country | US
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Telephone | 212-586-6400
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Fax | 718-246-9357
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | DR. ROY CARROLL LILLY JR.
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Credential | PHARMD, RPH
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Telephone | 718-858-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 023180
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License Number State | NY
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