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General NPI Number Information
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NPI Number | 1891504478
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Entity Type | Organization
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Legal Business Name | NEW YORK RHINOPLASTY PLLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 107 WOODBURY RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-4135
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Country | US
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Telephone | 516-366-4141
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Fax | 631-318-7680
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Provider Business Mailing Address
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Address Line | 107 WOODBURY RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-4135
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Country | US
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Telephone | 516-366-4141
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Fax | 631-318-7680
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KONSTANTIN TARASHANSKY
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Credential | MD
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Telephone | 516-366-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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