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General NPI Number Information
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NPI Number | 1871619692
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Entity Type | Organization
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Legal Business Name | NEW YORK PRESBYTERIAN HOSPITAL
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 622 W 168TH ST HARKNESS PAVILION
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 224 BEDFORD RD APT 5
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2236
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Country | US
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Telephone | 914-769-4354
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | SANDRA BROADHURST
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Credential | FNP
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Telephone | 2123054960153245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F332527
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License Number State | NY
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