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General NPI Number Information
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NPI Number | 1780607184
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA MEDICAL PC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 200 W 57TH ST 15TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019-3211
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Country | US
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Telephone | 212-247-2080
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Fax | 508-590-0240
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Provider Business Mailing Address
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Address Line | 200 CHAMBERS ST #27B
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City | NEW YORK
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State | NY
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Zip | 10007-1082
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Country | US
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Telephone | 212-505-9006
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Fax | 508-590-0240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NATHANAEL S HORNE
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Credential | M.D.
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Telephone | 718-938-1502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 228065
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License Number State | NY
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