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General NPI Number Information
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NPI Number | 1982361457
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Entity Type | Organization
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Legal Business Name | AFFILIATE OF NEUROLOGY & PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 347 W 57TH ST APT 21F
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City | NEW YORK
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State | NY
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Zip | 10019-3168
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Country | US
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Telephone | 888-384-5554
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Fax | 866-529-5039
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Provider Business Mailing Address
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Address Line | 347 W 57TH ST APT 21F
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City | NEW YORK
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State | NY
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Zip | 10019-3168
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Country | US
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Telephone | 888-384-5554
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Fax | 866-529-5039
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Authorized Official
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Title or Position | EMPLOYEE
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Name | CHERYL H COTTROL
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Credential | MD
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Telephone | 212-369-2395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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