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General NPI Number Information
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NPI Number | 1730212523
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Entity Type | Organization
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Legal Business Name | DIANE KERSTEIN, M.D., P.C.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 666 LEXINGTON AVE STE 111
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3638
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Country | US
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Telephone | 914-864-1441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32103
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City | NEW YORK
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State | NY
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Zip | 10087-2103
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Country | US
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Telephone | 914-864-1441
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DIANE KERSTEIN
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Credential | MD
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Telephone | 914-458-8751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 173911
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License Number State | NY
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