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General NPI Number Information
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NPI Number | 1295901627
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Entity Type | Organization
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Legal Business Name | PETER J LESNIEWSKI MD PC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 30 MERRICK AVENUE SUITE 100
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City | EAST MEADOW
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State | NY
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Zip | 11554
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Country | US
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Telephone | 516-794-7010
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Fax | 516-794-7074
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Provider Business Mailing Address
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Address Line | 30 MERRICK AVENUE SUITE 100
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City | EAST MEADOW
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State | NY
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Zip | 11554
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Country | US
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Telephone | 516-794-7010
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Fax | 516-794-7074
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER LESNIEWSKI
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Credential |
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Telephone | 516-794-7012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 137979
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License Number State | NY
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