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General NPI Number Information
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NPI Number | 1881738755
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Entity Type | Organization
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Legal Business Name | YELENA LINDEN BAUM MEDICAL PC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 314 W 14TH ST 6 FLOOR
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City | NEW YORK
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State | NY
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Zip | 10014-5002
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Country | US
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Telephone | 646-823-7138
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Fax |
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Provider Business Mailing Address
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Address Line | 1623 3RD AVE 9J
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City | NEW YORK
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State | NY
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Zip | 10128-3638
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Country | US
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Telephone | 646-823-7138
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YELENA LINDENBAUM
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Credential |
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Telephone | 646-823-7138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 207408
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License Number State | NY
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