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General NPI Number Information
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NPI Number | 1285276378
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Entity Type | Organization
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Legal Business Name | NESCONSET MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 195 SOUTHERN BLVD STE 104
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City | NESCONSET
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State | NY
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Zip | 11767-1738
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Country | US
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Telephone | 516-808-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 195 SOUTHERN BLVD STE 104
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City | NESCONSET
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State | NY
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Zip | 11767-1738
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Country | US
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Telephone | 516-808-6333
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Fax |
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Authorized Official
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Title or Position | OWNER/ PARTNER
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Name | DR. SAADIA WASTY
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Credential | MD
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Telephone | 516-808-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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