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General NPI Number Information
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NPI Number | 1366674525
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Entity Type | Organization
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Legal Business Name | LONG ISLAND HEALTH CARE, LLC
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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 | 99 TULIP AVE SUITE 101
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City | FLORAL PARK
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State | NY
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Zip | 11001-1959
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Country | US
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Telephone | 516-352-1294
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Fax | 516-328-9150
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Provider Business Mailing Address
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Address Line | 99 TULIP AVE SUITE 101
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City | FLORAL PARK
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State | NY
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Zip | 11001-1959
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Country | US
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Telephone | 516-352-1294
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Fax | 516-328-9150
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARILYN CAFASSO
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Credential | CRNI/DON
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Telephone | 516-352-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1330L001
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License Number State | NY
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