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General NPI Number Information
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NPI Number | 1891154597
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Entity Type | Organization
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Legal Business Name | FAMILY EYE MEDICAL SURGICAL AND LASER EYE CARE PC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 121 E 60 STREET 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-861-0800
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Fax | 212-628-4065
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Provider Business Mailing Address
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Address Line | 530 E 76 STREET SUITE 34E
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-861-0800
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Fax | 212-628-4065
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANJEER NATH
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Credential | MD
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Telephone | 212-861-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 129570
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License Number State | NY
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