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General NPI Number Information
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NPI Number | 1104072677
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Entity Type | Organization
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Legal Business Name | LONG ISLAND BEHAVIORAL MEDICINE PC
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 1727 VETERANS MEMORIAL HWY SUITE 300
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City | ISLANDIA
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State | NY
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Zip | 11749-1520
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Country | US
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Telephone | 631-656-0472
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Fax | 631-656-0634
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Provider Business Mailing Address
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Address Line | 1727 VETERANS MEMORIAL HWY SUITE 300
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City | ISLANDIA
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State | NY
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Zip | 11749-1520
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Country | US
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Telephone | 631-656-0472
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Fax | 631-656-0634
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK DOWLING
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Credential | MD
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Telephone | 631-265-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 183731
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License Number State | NY
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