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NPI 1700975372

NPI 1700975372 : ARI JAY NAMON MD : POUGHKEEPSIE, NY

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General NPI Number Information
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    NPI Number           |    1700975372
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    Entity Type          |    Individual 
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    Provider Name        |    ARI JAY NAMON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/12/2006
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    Last Update Date     |    05/13/2021
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Provider Practice Location Address
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    Address Line         |    30 COLUMBIA ST 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12601-3906
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    Country              |    US
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    Telephone            |    845-231-5600
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    Fax                  |    845-592-7705
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Provider Business Mailing Address
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    Address Line         |    110 S BEDFORD RD CAREMOUNT MEDICAL PC
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    City                 |    MOUNT KISCO
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    State                |    NY
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    Zip                  |    10549-3446
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    Country              |    US
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    Telephone            |    914-241-1050
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    Fax                  |    914-242-1516
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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        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    150427
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207YS0123X
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    Taxonomy Name        |    Facial Plastic Surgery Physician
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    License Number       |    034947
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    034947
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    License Number State |    CT
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