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General NPI Number Information
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NPI Number | 1811060619
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Entity Type | Organization
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Legal Business Name | NEW YORK BONE AND JOINT SPECIALISTS, PLLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 130 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6136
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Country | US
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Telephone | 212-759-8899
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Fax | 212-649-4601
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Provider Business Mailing Address
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Address Line | 130 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6136
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Country | US
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Telephone | 212-759-4460
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Fax | 212-649-4601
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL Y MIZHIRITSKY
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Credential | MD
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Telephone | 212-759-4553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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