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General NPI Number Information
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NPI Number | 1295716835
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Entity Type | Organization
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Legal Business Name | SOUTH NASSAU COMMUNITIES HOSPITAL
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 1 HEALTHY WAY ATTN: PHYSICIAN BILLING
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City | OCEANSIDE
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State | NY
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Zip | 11572-1551
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Country | US
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Telephone | 516-255-1600
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Fax | 516-255-4672
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Provider Business Mailing Address
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Address Line | 1 HEALTHY WAY ATTN: PHYSICIAN BILLING
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City | OCEANSIDE
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State | NY
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Zip | 11572-1551
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Country | US
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Telephone | 516-255-1600
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Fax | 516-255-4672
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Authorized Official
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Title or Position | DIRECTOR-FINANCE
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Name | ALEX BALKO
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Credential |
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Telephone | 516-632-3681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 003479
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 214473
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 112253
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 204027
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 201704
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 158539
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 242239
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 218259
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License Number State | NY
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