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General NPI Number Information
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NPI Number | 1720169428
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Entity Type | Organization
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Legal Business Name | NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 657 E MAIN ST SUITE 1
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3423
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Country | US
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Telephone | 914-666-5550
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Fax | 914-241-4206
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Provider Business Mailing Address
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Address Line | 2900 WESTCHESTER AVE SUITE 307
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City | PURCHASE
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State | NY
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Zip | 10577-2552
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Country | US
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Telephone | 914-249-7000
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Fax | 914-249-7034
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOHN D. DOWDLE
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Credential | M.D.
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Telephone | 914-249-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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