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General NPI Number Information
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NPI Number | 1811047616
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Entity Type | Organization
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Legal Business Name | NY NEUROSCIENCE ASSOCIATE, PC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | JAMAICA HOSPITAL 8900 VAN WYCK EXPRESSWAY, JAMAICA, NY NEW YORK PRESBYTERIAN HOSPITAL 525 EAST 68TH STREET
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-2396
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Fax | 212-772-0357
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Provider Business Mailing Address
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Address Line | 210 LAFAYETTE ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10012-4018
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Country | US
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Telephone | 212-746-2396
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Fax | 212-772-0357
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMSHID GHAJAR
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Credential | MD, PHD
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Telephone | 212-746-2396
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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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