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General NPI Number Information
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NPI Number | 1306165949
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Entity Type | Individual
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Provider Name | DIANA BESLEAGA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 1103 STEWART AVE STE 301
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City | GARDEN CITY
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State | NY
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Zip | 11530-4886
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Country | US
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Telephone | 917-202-1713
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HESSIAN CT
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-4619
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Country | US
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Telephone | 917-202-1713
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 277724
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License Number State | NY
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