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General NPI Number Information
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NPI Number | 1902953839
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Entity Type | Organization
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Legal Business Name | JOSEPH M NIEDER MD PC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1556 THIRD AVE SUITE 601A
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City | NEW YORK
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State | NY
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Zip | 10128-3100
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Country | US
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Telephone | 212-876-5406
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Fax | 212-876-3503
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Provider Business Mailing Address
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Address Line | 1556 THIRD AVE SUITE 601A
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City | NEW YORK
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State | NY
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Zip | 10128-3100
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Country | US
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Telephone | 212-876-5406
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Fax | 212-876-3503
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH MARTIN NIEDER
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Credential | MD
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Telephone | 212-876-5406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 60095186
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License Number State | NY
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