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General NPI Number Information
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NPI Number | 1962936716
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Entity Type | Organization
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Legal Business Name | NYC INFUSION
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 05/07/2017
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Provider Practice Location Address
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Address Line | 2689 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10025-4412
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Country | US
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Telephone | 844-644-5687
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Fax | 888-522-5952
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Provider Business Mailing Address
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Address Line | 256 SUNRISE HIGHWAY SUITE 1-383
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4901
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Country | US
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Telephone | 844-644-5687
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Fax | 888-522-5952
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Authorized Official
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Title or Position | CONSULTING CHIEF MEDICAL OFFICER
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Name | DR. SCOTT BREIDBART
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Credential | M.D.
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Telephone | 914-602-6481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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