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General NPI Number Information
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NPI Number | 1477075299
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Entity Type | Organization
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Legal Business Name | COLORECTAL SURGERY SERVICES PLLC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 2200 NORTHERN BLVD STE 210
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City | GREENVALE
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State | NY
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Zip | 11548
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Country | US
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Telephone | 516-248-2422
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Fax | 516-248-5162
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Provider Business Mailing Address
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Address Line | 2200 NORTHERN BLVD STE 210
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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 | 516-248-2422
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Fax | 516-248-5162
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Authorized Official
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Title or Position | OWNER / AUTHORIZED OFFICIAL
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Name | FRANK J CALIENDO
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Credential | MD
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Telephone | 516-248-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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