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General NPI Number Information
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NPI Number | 1932619608
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Entity Type | Organization
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Legal Business Name | NYC MEDICAL INFUSION PC
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 175 E 96TH ST
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City | NEW YORK
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State | NY
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Zip | 10128-6200
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Country | US
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Telephone | 212-776-9090
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Fax | 800-540-1852
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Provider Business Mailing Address
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Address Line | 1047 SURF AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11224-2810
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Country | US
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Telephone | 212-776-9090
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Fax | 800-540-1852
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ROBERT ROTEMAN
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Credential |
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Telephone | 212-776-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 045710
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | 224301
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License Number State | NY
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