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General NPI Number Information
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NPI Number | 1912720574
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MEDICINE OF MIDTOWN
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 737 PARK AVE FRNT 1B
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City | NEW YORK
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State | NY
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Zip | 10021-4248
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Country | US
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Telephone | 646-833-0310
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Fax | 213-375-3794
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Provider Business Mailing Address
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Address Line | 3505 HILL BLVD STE C
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-1210
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Country | US
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Telephone | 914-613-3653
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Fax | 213-375-3794
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | DR. MONICA GROVER
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Credential | DO
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Telephone | 646-833-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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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 | 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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