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NPI 1972690709

NPI 1972690709 : AMY WECHSLER M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1972690709
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    Entity Type          |    Individual 
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    Provider Name        |    AMY WECHSLER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    12/03/2008
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Provider Practice Location Address
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    Address Line         |    3 EAST 69TH STREET 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021
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    Country              |    US
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    Telephone            |    212-396-2500
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    Fax                  |    212-396-2505
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Provider Business Mailing Address
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    Address Line         |    3 EAST 69TH STREET 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021
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    Country              |    US
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    Telephone            |    212-396-2500
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    Fax                  |    212-396-2505
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    204396
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    License Number State |    NY
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