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General NPI Number Information
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NPI Number | 1760900690
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Entity Type | Organization
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Legal Business Name | NY FAMILY ORTHODONTICS P.C.
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5795 TYNDALL AVE FL 1
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City | BRONX
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State | NY
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Zip | 10471-2113
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Country | US
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Telephone | 718-884-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 5795 TYNDALL AVE FL 1
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City | BRONX
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State | NY
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Zip | 10471-2113
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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 | SHAREHOLDER
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Name | DR. CATHERINE WOO
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Credential | DDS
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Telephone | 201-916-5579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 057916-1
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License Number State | NY
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