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General NPI Number Information
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NPI Number | 1972694651
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Entity Type | Organization
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Legal Business Name | NEW YORK ORTHOPAEDICS AND SPORTS MED PC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 215 E 73RD ST SUITE 3C
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City | NEW YORK
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State | NY
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Zip | 10021-3653
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Country | US
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Telephone | 212-249-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E 73RD ST SUITE 3C
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City | NEW YORK
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State | NY
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Zip | 10021-3653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | VALERIE MCNAIR
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Credential |
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Telephone | 845-278-8823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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