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General NPI Number Information
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NPI Number | 1922496991
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Entity Type | Organization
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Legal Business Name | NATURE MEDICAL OF NEW YORK P.C.
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 6808 FOREST AVE SUITE A
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4475
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Country | US
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Telephone | 631-629-4845
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Fax |
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Provider Business Mailing Address
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Address Line | 6808 FOREST AVE SUITE A
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4475
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANI ZAVALI
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Credential |
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Telephone | 631-629-4845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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