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General NPI Number Information
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NPI Number | 1336006022
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Entity Type | Organization
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Legal Business Name | NEW YORK LUNG AND THORACIC PLLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 322 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11226-3579
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Country | US
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Telephone | 646-498-0173
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 3RD AVE APT 3A
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City | NEW YORK
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State | NY
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Zip | 10065-5910
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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 | MD
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Name | STEPHEN KUPERBERG
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Credential |
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Telephone | 646-498-0173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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