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General NPI Number Information
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NPI Number | 1942453824
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Entity Type | Organization
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Legal Business Name | ARTHUR M. COTLIAR, MD, PLLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 130 FORT WASHINGTON AVE SUITE 1M
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City | NEW YORK
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State | NY
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Zip | 10032-4724
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Country | US
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Telephone | 212-568-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 130 FORT WASHINGTON AVE SUITE 1M
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City | NEW YORK
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State | NY
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Zip | 10032-4724
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Country | US
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Telephone | 212-568-8600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARTHUR M COTLIAR
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Credential | MD
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Telephone | 212-568-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 136628
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License Number State | NY
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