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General NPI Number Information
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NPI Number | 1750716601
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Entity Type | Organization
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Legal Business Name | GOTHAM MEDICAL SERVICES
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1055 WASHINGTON BLVD SUITE 440
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City | STAMFORD
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State | CT
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Zip | 06901-2216
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Country | US
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Telephone | 203-348-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 WASHINGTON BLVD SUITE 440
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City | STAMFORD
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State | CT
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Zip | 06901-2216
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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 | ANESTHESIOLOGIST
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Name | STEVEN ADAM FINKEL
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Credential | M.D.
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Telephone | 203-348-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 230417
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License Number State | NY
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