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NPI 1861887283

NPI 1861887283 : NICOLAS BIRO MEDICAL PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1861887283
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    Entity Type          |    Organization 
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    Legal Business Name  |    NICOLAS BIRO MEDICAL PC 
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Dates
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    Enumeration Date     |    04/02/2015
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    Last Update Date     |    04/02/2015
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Provider Practice Location Address
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    Address Line         |    310 E 9TH ST APT #3
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003-8193
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    Country              |    US
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    Telephone            |    917-348-1060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    310 E 9TH ST APT #3
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003-8193
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    Country              |    US
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    Telephone            |    917-348-1060
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |     NICOLAS GABRIEL BIRO 
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    Credential           |    MD
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    Telephone            |    954-608-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS0132X
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    Taxonomy Name        |    Ophthalmologic Surgery Clinic/Center
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    License Number       |    1497959332
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    License Number State |    NY
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