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General NPI Number Information
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NPI Number | 1942323837
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Entity Type | Organization
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Legal Business Name | WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 2150 CENTRAL PARK AVE SUITE 205
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City | YONKERS
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State | NY
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Zip | 10710-1853
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Country | US
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Telephone | 914-337-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 CENTRAL PARK AVE SUITE 205
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City | YONKERS
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State | NY
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Zip | 10710-1853
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Country | US
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Telephone | 914-337-2727
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARY E. FEDOR
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Credential | MD
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Telephone | 914-337-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 232091
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License Number State | NY
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