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General NPI Number Information
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NPI Number | 1154212587
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Entity Type | Individual
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Provider Name | ANDREW ZOTOS BRESLIN LMSW
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2233 NESCONSET HWY STE 100
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City | LAKE GROVE
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State | NY
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Zip | 11755-1000
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Country | US
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Telephone | 631-602-7856
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Fax | 631-602-7857
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Provider Business Mailing Address
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Address Line | 3 KINGS WALK
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City | ROCKY POINT
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State | NY
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Zip | 11778-9328
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Country | US
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Telephone | 631-902-4776
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 126739
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License Number State | NY
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