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General NPI Number Information
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NPI Number | 1417019217
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Entity Type | Organization
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Legal Business Name | LONG ISLAND COLLEGE HOSPITAL
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 339 HICKS STREET
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City | BROOKLYN
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State | NY
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Zip | 11201
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Country | US
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Telephone | 718-780-1000
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Fax | 212-256-3595
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Provider Business Mailing Address
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Address Line | 160 WATER STREET ROOM 2329
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City | NEW YORK
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State | NY
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Zip | 10038
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Country | US
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Telephone | 212-256-3027
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Fax | 212-256-3595
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | MR. MICHAEL BRUNO
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Credential |
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Telephone | 212-523-7140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 7001017H
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 7001017H
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 7001017H
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License Number State | NY
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