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General NPI Number Information
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NPI Number | 1710332689
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Entity Type | Individual
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Provider Name | GARRET JOSEPH GAROFOLO-GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 200 W 13TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10011-7702
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Country | US
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Telephone | 646-665-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 STEWART AVE STE 100
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City | GARDEN CITY
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State | NY
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Zip | 11530-4833
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Country | US
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Telephone | 516-536-2800
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 319959-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | DR.0068016
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A170881
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License Number State | CA
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Taxonomy #4
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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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