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NPI 1962400747

NPI 1962400747 : IRENE MAGRAMM M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1962400747
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    Entity Type          |    Individual 
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    Provider Name        |    IRENE MAGRAMM M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    225 E 64TH ST SUITE 6
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-6690
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    Country              |    US
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    Telephone            |    212-644-5100
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    Fax                  |    212-644-2520
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Provider Business Mailing Address
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    Address Line         |    245 E 63RD ST APT. 1207
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-7466
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    Country              |    US
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    Telephone            |    212-308-7366
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    Fax                  |    
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    153878
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    License Number State |    NY
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