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General NPI Number Information
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NPI Number | 1932379815
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Entity Type | Organization
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Legal Business Name | EMPIRE CARDIOLOGY PC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 3065 SOUTHWESTERN BLVD SUITE 202
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1239
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Country | US
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Telephone | 716-677-5866
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Fax | 716-677-5868
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Provider Business Mailing Address
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Address Line | 3065 SOUTHWESTERN BLVD SUITE 202
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1239
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Country | US
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Telephone | 716-677-5866
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Fax | 716-677-5868
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD P EMERSON JR.
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Credential | M.D.
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Telephone | 716-677-5866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 183508
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License Number State | NY
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