2 results for "1063886083"

Page 1 of 1
EFTA00573437.pdf
OCR Confidence: 85%  •  46.3 KB
...were listed as the contact person. This is to inform you that the request was successfully processed and the following NPI has been assigned: 1063886083. This provider is a sole proprietor. Practice Location: 6100 Red Hook Qtrs Suite B-3 St Thomas, VI 00802-1348 Provider Taxonomies: Taxonomy: 1223G0001X License...
EFTA00521364.pdf
OCR Confidence: 85%  •  221.9 KB
...Drug Schedules. (Fill in all circles that apply) ,/ Schedule II ,/ Schedule II ,,, Schedule III i Schedule III V' Schedule IV ,/ Schedule V Narcotic Non Narcotic Narcotic Non Narcotic Practitioner Details National Provider ID 1063886083 * Degree IIIIIIIMIMIIIIIIIIIIIIIIIII * Birthdate MEM NM Illia * Graduation Year IIIIIMI * Professional School COLUMBIA UNIVERSITY COLLEGE OF D...

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