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General NPI Number Information
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NPI Number | 1770033581
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Entity Type | Organization
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Legal Business Name | SKYPIATRIST PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 169 WYTHE AVE APT 104
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City | BROOKLYN
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State | NY
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Zip | 11249-3102
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Country | US
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Telephone | 844-384-2779
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Fax | 303-942-6679
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Provider Business Mailing Address
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Address Line | 95 EASTERN PKWY APT. 3E
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City | BROOKLYN
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State | NY
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Zip | 11238-5935
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Country | US
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Telephone | 844-384-2779
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Fax | 303-942-6679
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | SANDIP P BUCH
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Credential | MD
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Telephone | 312-446-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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