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General NPI Number Information
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NPI Number | 1831581628
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Entity Type | Organization
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Legal Business Name | NEW YORK MEDICINE DOCTORS, PLLC.
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 800 2ND AVE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 347-988-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 800 2ND AVE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 347-988-1254
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CO-FOUNDER
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Name | DR. SIREEN GOPAL
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Credential | MD
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Telephone | 914-522-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 107381
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License Number State | NY
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