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NPI 1225190531

NPI 1225190531 : ALEXANDER LINSKY, DMD,PC : GREAT NECK, NY

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General NPI Number Information
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    NPI Number           |    1225190531
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEXANDER LINSKY, DMD,PC 
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Dates
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    Enumeration Date     |    12/14/2006
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    Last Update Date     |    11/10/2014
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Provider Practice Location Address
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    Address Line         |    900 NORTHERN BLVD SUITE 240
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-5337
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    Country              |    US
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    Telephone            |    516-482-6677
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    Fax                  |    516-482-6732
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Provider Business Mailing Address
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    Address Line         |    900 NORTHERN BLVD SUITE 240
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-5337
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    Country              |    US
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    Telephone            |    516-482-6677
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    Fax                  |    516-482-6732
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ALEXANDER OWEN LINSKY 
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    Credential           |    DMD
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    Telephone            |    515-482-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    041634
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    License Number State |    NY
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