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General NPI Number Information
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NPI Number | 1164300745
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Entity Type | Organization
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Legal Business Name | LATER YEARS GERIATRIC CONSULTING SERVICES
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1099 OLYMPIA RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1938
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Country | US
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Telephone | 516-663-0333
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Fax | 870-396-5913
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Provider Business Mailing Address
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Address Line | 1099 OLYMPIA RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1938
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Country | US
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Telephone | 516-663-0333
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Fax | 870-396-5913
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Authorized Official
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Title or Position | OWNER
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Name | LUZ GARGIULLO
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Credential | NP
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Telephone | 516-663-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number |
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License Number State |
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