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NPI 1306078589

NPI 1306078589 : NASSAU UNIVERSITY MEDICAL CENTER : EAST MEADOW, NY

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General NPI Number Information
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    NPI Number           |    1306078589
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    Entity Type          |    Organization 
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    Legal Business Name  |    NASSAU UNIVERSITY MEDICAL CENTER 
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Dates
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    Enumeration Date     |    08/20/2009
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    Last Update Date     |    08/20/2009
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Provider Practice Location Address
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    Address Line         |    2201 HEMPSTEAD TPKE 
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    City                 |    EAST MEADOW
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    State                |    NY
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    Zip                  |    11554-1859
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    Country              |    US
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    Telephone            |    516-572-0123
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    219 TORONTO AVE 
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    City                 |    MASSAPEQUA
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    State                |    NY
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    Zip                  |    11758-4034
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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    |    RESIDENT
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    Name                 |    DR. HARRY JAMES LENABURG JR.
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    Credential           |    MD
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    Telephone            |    623-824-3628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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