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General NPI Number Information
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NPI Number | 1801988258
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PATHOLOGY, P.C.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 976 NORTH BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701
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Country | US
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Telephone | 914-964-4401
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Fax | 914-964-4953
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Provider Business Mailing Address
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Address Line | 4 SKYLINE DR
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City | HAWTHORNE
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State | NY
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Zip | 10532-2147
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Country | US
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Telephone | 914-345-3315
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Fax | 914-345-3064
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYRON ROY MELAMED
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Credential | M.C.
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Telephone | 914-493-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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