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General NPI Number Information
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NPI Number | 1720377468
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Entity Type | Organization
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Legal Business Name | DYCKMAN MEDICAL SERVICES PC
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 177 DYCKMAN ST
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City | NEW YORK
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State | NY
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Zip | 10040-1069
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Country | US
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Telephone | 212-567-7323
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Fax | 212-567-7324
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Provider Business Mailing Address
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Address Line | 177 DYCKMAN ST
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City | NEW YORK
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State | NY
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Zip | 10040-1069
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Country | US
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Telephone | 212-567-7323
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Fax | 212-567-7324
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. NINA ZILBERMAN
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Credential | M.D.
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Telephone | 212-567-7323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 213266
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License Number State | NY
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