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NPI 1730601196

NPI 1730601196 : NEW YORK UNIVERSITY : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1730601196
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW YORK UNIVERSITY 
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Dates
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    Enumeration Date     |    07/07/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    333 EAST 38TH STREET 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016
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    Country              |    US
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    Telephone            |    646-501-7070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    333 E 38TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-2772
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    Country              |    US
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    Telephone            |    646-501-7070
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP, CLINICAL AFFAIRS AND AMB CARE
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    Name                 |     ANDREW T RUBIN 
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    Credential           |    
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    Telephone            |    212-263-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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