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General NPI Number Information
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NPI Number | 1366543795
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Entity Type | Organization
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Legal Business Name | NORTHWELL HEALTH LABORATORIES
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 450 LAKEVILLE RD STE M50
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1117
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Country | US
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Telephone | 516-719-1000
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Fax | 516-407-6744
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Provider Business Mailing Address
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Address Line | 2200 NORTHERN BLVD STE 104
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City | GREENVALE
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State | NY
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Zip | 11548-1220
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Country | US
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Telephone | 516-407-6665
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Fax | 516-407-6744
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LESLIE A WRIGHT
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Credential |
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Telephone | 347-494-8760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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