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General NPI Number Information
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NPI Number | 1770798670
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Entity Type | Individual
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Provider Name | SYBIL PADER COHEN GLAZER RD CDN MS MA
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 21 CHAPEL PLACE SUITE 1A
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City | GREAT NECK
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State | NY
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Zip | 11021-1413
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Country | US
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Telephone | 516-829-5703
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Fax | 516-829-2474
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Provider Business Mailing Address
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Address Line | 21 CHAPEL PLACE SUITE 1A
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City | GREAT NECK
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State | NY
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Zip | 11021-1413
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Country | US
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Telephone | 516-829-5703
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Fax | 516-829-2474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 000366
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 808119
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License Number State | NY
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