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General NPI Number Information
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NPI Number | 1730205600
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Entity Type | Organization
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Legal Business Name | CENTRAL PARK ENDOCRINOLOGY, PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 115 CENTRAL PARK WEST STE 14
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City | NEW YORK CITY
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-877-2100
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Fax | 212-873-9311
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Provider Business Mailing Address
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Address Line | 115 CENTRAL PARK WEST STE 14
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City | NEW YORK CITY
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-877-2100
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Fax | 212-873-9311
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | VANESSA MATTHEWS
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Credential |
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Telephone | 212-877-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 098603
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 098603
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License Number State | NY
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