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General NPI Number Information
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NPI Number | 1912232281
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Entity Type | Organization
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Legal Business Name | GRAMERCY DENTAL ARTS, PLLC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 693 5TH AVE STE 1400
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City | NEW YORK
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State | NY
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Zip | 10022-3110
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Country | US
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Telephone | 212-777-6725
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Fax | 914-200-0091
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Provider Business Mailing Address
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Address Line | 8 GRAMERCY PARK S SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10003-1718
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Country | US
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Telephone | 212-477-1647
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Fax | 212-260-5012
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY NEUHAUS
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Credential | D.D.S.
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Telephone | 914-714-4727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 032094
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License Number State | NY
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