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General NPI Number Information
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NPI Number | 1821216409
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Entity Type | Organization
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Legal Business Name | YEVGENY AZRIELI, MD, PC
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1090 AMSTERDAM AVE SUITE 5F
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-3652
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Fax | 212-523-2679
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Provider Business Mailing Address
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Address Line | 1090 AMSTERDAM AVE SUITE 5F
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-3652
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Fax | 212-523-2679
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YEVGENY AZRIELI
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Credential | M.D.
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Telephone | 212-523-3652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 208980
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License Number State | NY
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