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General NPI Number Information
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NPI Number | 1922733575
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Entity Type | Organization
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Legal Business Name | MDCS DERMATOLOGY AND COSMETIC SURGERY
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 401 S VAN BRUNT ST STE 403
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4635
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Country | US
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Telephone | 212-661-3376
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Fax | 212-661-3366
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Provider Business Mailing Address
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Address Line | 820 2ND AVE RM 3A
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City | NEW YORK
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State | NY
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Zip | 10017-4534
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Country | US
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Telephone | 212-661-3376
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Fax | 212-661-3366
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SNEHAL P AMIN
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Credential | MD
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Telephone | 212-661-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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