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General NPI Number Information
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NPI Number | 1780868596
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Entity Type | Organization
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Legal Business Name | BRIAN ISRAEL D.O., P.C.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 200 S BROADWAY SUITE 201
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City | TARRYTOWN
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State | NY
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Zip | 10591-4500
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Country | US
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Telephone | 914-332-6661
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Fax | 914-332-6614
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Provider Business Mailing Address
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Address Line | 200 S BROADWAY SUITE 201
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City | TARRYTOWN
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State | NY
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Zip | 10591-4500
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Country | US
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Telephone | 914-332-6661
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Fax | 914-332-6614
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRIAN SCOTT ISRAEL
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Credential | D.O.
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Telephone | 914-332-6661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NY194100
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License Number State | NY
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