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General NPI Number Information
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NPI Number | 1295394120
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Entity Type | Organization
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Legal Business Name | ANDREA E NOMBERG PHYSICIAN PC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 622 HAWKINS AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-2374
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Country | US
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Telephone | 631-583-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 1 VENEZIA CT
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City | DEER PARK
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State | NY
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Zip | 11729-1508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA NOMBERG
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Credential | MD
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Telephone | 631-583-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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