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General NPI Number Information
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NPI Number | 1306755335
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CONSULTANT OF LONG ISLAND
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 3070 MIDDLE COUNTRY ROAD SUITE 1
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City | LAKE GROVE
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State | NY
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Zip | 11755
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Country | US
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Telephone | 631-247-7463
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Fax | 631-532-4911
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Provider Business Mailing Address
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Address Line | 601 PORTION RD STE 204
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City | LAKE RONKONKOMA
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State | NY
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Zip | 11779-4588
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Country | US
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Telephone | 631-247-7463
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Fax | 631-532-4911
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Authorized Official
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Title or Position | OWNER
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Name | MORGAN N CHEN
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Credential | MD
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Telephone | 631-247-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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