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General NPI Number Information
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NPI Number | 1487723805
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE OF SUFFOLK, LLP
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 408-3 MAIN STREET
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City | CENTER MORICHES
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State | NY
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Zip | 11934-3501
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Country | US
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Telephone | 516-746-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 408-3 MAIN STREET
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City | CENTER MORICHES
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State | NY
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Zip | 11934-3501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NUNZIO SAULLE
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Credential | M.D.
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Telephone | 516-746-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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