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General NPI Number Information
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NPI Number | 1902013873
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Entity Type | Organization
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Legal Business Name | RYE FAMILY MEDICINE PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 265 PURCHASE ST
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City | RYE
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State | NY
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Zip | 10580-2106
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Country | US
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Telephone | 914-927-0524
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Fax |
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Provider Business Mailing Address
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Address Line | 265 PURCHASE ST
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City | RYE
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State | NY
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Zip | 10580-2106
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Country | US
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Telephone | 914-927-0524
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MICHELINE IVANOV-GIOVANI
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Credential | M.D.
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Telephone | 914-921-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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