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General NPI Number Information
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NPI Number | 1851652804
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Entity Type | Organization
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Legal Business Name | WOLFSON MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 170 WILLIAM ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10038-2612
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Country | US
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Telephone | 646-898-4734
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Fax | 646-898-4743
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Provider Business Mailing Address
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Address Line | 170 WILLIAM ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10038-2612
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Country | US
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Telephone | 646-898-4734
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Fax | 646-898-4743
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Authorized Official
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Title or Position | SECRETARY
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Name | JOANN TSANG
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Credential |
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Telephone | 646-898-4734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 187897
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License Number State | NY
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