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General NPI Number Information
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NPI Number | 1932095734
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Entity Type | Organization
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Legal Business Name | NEW YORK MED CENTER LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 845 ROUTE 5 AND 20
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City | IRVING
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State | NY
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Zip | 14081-9706
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Country | US
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Telephone | 716-961-7457
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Fax | 716-970-7859
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Provider Business Mailing Address
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Address Line | 845 ROUTE 5 AND 20
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City | IRVING
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State | NY
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Zip | 14081-9706
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Country | US
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Telephone | 716-961-7457
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Fax | 716-970-7859
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Authorized Official
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Title or Position | CEO
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Name | MR. RAYMOND MANNING
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Credential |
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Telephone | 716-961-4265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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