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General NPI Number Information
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NPI Number | 1821777590
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Entity Type | Organization
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Legal Business Name | MANHATTAN URGENT CARE PHYSICIANS PLLCR
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 50 WESTCHESTER AVE
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City | PORT CHESTER
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State | NY
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Zip | 10573-4324
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Country | US
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Telephone | 646-898-6734
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Fax |
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Provider Business Mailing Address
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Address Line | 25 SAVIN CT
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4215
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Country | US
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Telephone | 646-898-6734
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ILYA PARIZH
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Credential | DO
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Telephone | 646-898-6734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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