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General NPI Number Information
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NPI Number | 1477563039
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Entity Type | Individual
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Provider Name | HOSNEARA MASUB MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 25 09 36TH AVE
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City | LIC
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State | NY
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Zip | 11106
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Country | US
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Telephone | 718-482-0209
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Fax | 718-482-0296
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Provider Business Mailing Address
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Address Line | 9 KNOLL LN
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2607
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Country | US
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Telephone | 917-405-6727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 217560
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License Number State | NY
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