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General NPI Number Information
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NPI Number | 1942255856
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Entity Type | Individual
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Provider Name | CATHY MARIE CRUISE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 423 E 23RD ST PM&R/117 VA NEW YORK HARBOR HEALTHCARE SYSTEM
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City | NEW YORK
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State | NY
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Zip | 10010-5011
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Country | US
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Telephone | 212-686-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 79 MIDDLEVILLE RD PM&R/117 NORTHPORT VAMC
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City | NORTHPORT
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State | NY
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Zip | 11768-2200
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Country | US
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Telephone | 631-261-4400
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Fax | 631-754-7937
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 194389
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License Number State | NY
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