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General NPI Number Information
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NPI Number | 1114190691
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Entity Type | Organization
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Legal Business Name | FRANK J ADIPIETRO JR MD PC
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 700 BOISSEAU AVENUE
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City | SOUTHOLD
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State | NY
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Zip | 11971
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Country | US
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Telephone | 631-477-5353
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Fax | 631-477-5353
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Provider Business Mailing Address
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Address Line | 700 BOISSEAU AVE
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City | SOUTHOLD
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State | NY
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Zip | 11971-2926
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Country | US
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Telephone | 631-477-5353
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Fax | 631-477-5891
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Authorized Official
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Title or Position | OWNER
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Name | FRANK J ADIPIETRO JR.
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Credential | MD
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Telephone | 631-477-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 158532-1
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License Number State | NY
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