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General NPI Number Information
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NPI Number | 1952796690
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Entity Type | Organization
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Legal Business Name | NEW YORK EYE AND EAR INFIRMARY OF MOUNT SINAI
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 310 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4201
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Country | US
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Telephone | 212-979-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 EASTCHESTER RD APT 20H
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City | BRONX
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State | NY
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Zip | 10461-2103
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Country | US
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Telephone | 516-413-8308
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | EDWARD SHIN
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Credential | M.D.
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Telephone | 212-979-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State | NY
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