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General NPI Number Information
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NPI Number | 1881489060
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Entity Type | Organization
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Legal Business Name | CITRUS DERMATOLOGY SERVICES OF NY, P.C.
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 516-388-7209
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Fax | 877-413-4836
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Provider Business Mailing Address
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Address Line | 963 NORLAND AVE # 1049
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4204
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Country | US
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Telephone | 516-388-7209
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Fax | 877-413-4836
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Authorized Official
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Title or Position | PC PRESIDENT
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Name | RACHEL DAY
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Credential | MD
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Telephone | 201-819-4588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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