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General NPI Number Information
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NPI Number | 1942409024
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Entity Type | Organization
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Legal Business Name | GREGORY R ALSIP MD PC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 150 E 58TH ST 25TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 212-223-1980
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Fax | 212-223-2390
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Provider Business Mailing Address
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Address Line | 150 E 58TH ST 25TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 212-223-1980
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Fax | 212-223-2390
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY RICHARD ALSIP
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Credential | M.D.
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Telephone | 212-223-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 185664
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License Number State | NY
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