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NPI 1740563477

NPI 1740563477 : SUSAN E BINDER MD PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1740563477
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUSAN E BINDER MD PC 
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Dates
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    Enumeration Date     |    09/20/2011
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    Last Update Date     |    09/20/2011
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Provider Practice Location Address
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    Address Line         |    110 E 23RD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10010-4517
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    Country              |    US
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    Telephone            |    646-576-5688
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    110 E 23RD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10010-4517
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. SUSAN E BINDER 
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    Credential           |    MD
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    Telephone            |    646-576-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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