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General NPI Number Information
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NPI Number | 1194874826
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Entity Type | Organization
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Legal Business Name | ALL ISLAND GASTROENTEROLOGY AND LIVER ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 2000 N VILLAGE AVE STE 411
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1001
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Country | US
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Telephone | 516-593-4451
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Fax | 516-593-6202
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Provider Business Mailing Address
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Address Line | 2000 N VILLAGE AVE STE 411
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1001
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Country | US
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Telephone | 516-593-4451
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Fax | 516-593-6202
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Authorized Official
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Title or Position | PARTNER
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Name | HAROLD LIPSKY
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Credential | M.D
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Telephone | 516-593-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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