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General NPI Number Information
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NPI Number | 1245266626
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Entity Type | Organization
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Legal Business Name | WEXLER & LENGYEL-KREMENIC MD PC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 285 SILLS RD BUILDING 15, SUITE D
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-758-2843
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Fax | 631-758-1926
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Provider Business Mailing Address
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Address Line | 285 SILLS RD BUILDING 15, SUITE D
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-758-2843
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Fax | 631-758-1926
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG BARRY WEXLER
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Credential | M.D.
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Telephone | 631-758-2843
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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 | 145976
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License Number State | NY
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