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General NPI Number Information
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NPI Number | 1497714877
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Entity Type | Organization
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Legal Business Name | NORTH SHORE DIABETES AND ENDOCRINE ASSOC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3003 NEW HYDE PARK RD 201
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1214
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Country | US
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Telephone | 516-327-0850
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Fax | 516-327-0920
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Provider Business Mailing Address
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Address Line | 3003 NEW HYDE PARK RD 201
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1214
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Country | US
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Telephone | 516-327-0850
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Fax | 516-327-0920
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | NANCY CESARE
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Credential |
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Telephone | 516-327-0850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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