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General NPI Number Information
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NPI Number | 1871862938
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Entity Type | Organization
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Legal Business Name | ALAIN A. FEDIDA, MD
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 240 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6001
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Country | US
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Telephone | 212-737-5599
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Fax | 212-737-3624
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Provider Business Mailing Address
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Address Line | 229 E 79TH ST # 2A
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City | NEW YORK
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State | NY
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Zip | 10075-0866
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Country | US
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Telephone | 877-895-0876
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Fax | 631-206-9193
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Authorized Official
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Title or Position | OWNER / CFO
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Name | DR. ALAIN A FEDIDA
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Credential | M.D.
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Telephone | 877-895-0876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 172083
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 172083
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License Number State | NY
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