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NPI 1811987456

NPI 1811987456 : NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1811987456
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES 
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Dates
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    Enumeration Date     |    10/25/2005
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    3301 QUANTUM BLVD 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-8668
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    Country              |    US
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    Telephone            |    877-648-2964
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    Fax                  |    929-455-9477
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Provider Business Mailing Address
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    Address Line         |    550 1ST AVE 10 U
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-6402
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    Country              |    US
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    Telephone            |    212-263-5687
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR. ASST. DEAN OF CLINICAL AFFAIRS
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    Name                 |     ANDREW T. RUBIN 
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    Credential           |    
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    Telephone            |    212-263-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ZC0500X
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    Taxonomy Name        |    Cytopathology Physician
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    License Number       |    
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207ZN0500X
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    Taxonomy Name        |    Neuropathology Physician
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    License Number       |    
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207ZP0101X
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    Taxonomy Name        |    Anatomic Pathology Physician
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    License Number       |    
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    207ZP0102X
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    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
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    License Number       |    
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    License Number State |    
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