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General NPI Number Information
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NPI Number | 1811129661
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Entity Type | Organization
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Legal Business Name | MANHATTAN SURGICAL MANAGEMENT
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 461 PARK AVE S FLOOR 11
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City | NEW YORK
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State | NY
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Zip | 10016-6822
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Country | US
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Telephone | 212-473-6956
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Fax | 212-529-3016
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Provider Business Mailing Address
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Address Line | 461 PARK AVE S FLOOR 11
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City | NEW YORK
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State | NY
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Zip | 10016-6822
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Country | US
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Telephone | 212-473-6956
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Fax | 212-529-3016
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ROBERT CESTARI I
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Credential | M.D.
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Telephone | 212-473-6956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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