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General NPI Number Information
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NPI Number | 1013059310
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Entity Type | Individual
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Provider Name | LAURENCE MARC ABELOVE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10 UNION AVE STE. 3
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City | LYNBROOK
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State | NY
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Zip | 11563-3397
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Country | US
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Telephone | 516-593-8408
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Fax | 516-887-9436
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Provider Business Mailing Address
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Address Line | 10 UNION AVE STE. 3
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City | LYNBROOK
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State | NY
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Zip | 11563-3397
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Country | US
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Telephone | 516-593-8408
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Fax | 516-887-9436
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 009089
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY-0005327
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 009089
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY-0005327
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 009089
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY-0005327
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 009089
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY-0005327
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License Number State | FL
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