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General NPI Number Information
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NPI Number | 1780819540
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Entity Type | Organization
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Legal Business Name | BRONX PULMONARY CENTER LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 441 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10457-4301
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Country | US
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Telephone | 718-583-9240
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Fax | 718-299-6065
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Provider Business Mailing Address
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Address Line | 441 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10457-4301
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Country | US
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Telephone | 718-583-9240
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Fax | 718-299-6065
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Authorized Official
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Title or Position | OWNER
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Name | DR. MONROE KARETZKY
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Credential | M.D.
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Telephone | 718-583-9240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 092766-2
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License Number State | NY
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