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General NPI Number Information
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NPI Number | 1851522122
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Entity Type | Organization
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Legal Business Name | NEW YORK INTEGRATIVE RHEUMATOLOGY&ARTHRITIS CARE, PC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 50 E 81ST ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10028-0248
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Country | US
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Telephone | 212-288-3280
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Fax |
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Provider Business Mailing Address
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Address Line | 845 EDGEWOOD DR
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City | WESTBURY
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State | NY
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Zip | 11590-5450
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Country | US
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Telephone | 917-863-3392
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | WASEEM MIR
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Credential | M.D.
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Telephone | 917-863-3392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 238685
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License Number State | NY
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