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General NPI Number Information
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NPI Number | 1497884308
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Entity Type | Organization
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Legal Business Name | DAYOP OF NORTH NASSAU, INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 192 EAST SHORE ROAD
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City | GREAT NECK
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State | NY
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Zip | 11023-2416
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Country | US
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Telephone | 516-487-4500
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Fax | 516-504-0178
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Provider Business Mailing Address
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Address Line | 192 EAST SHORE ROAD
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City | GREAT NECK
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State | NY
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Zip | 11023-2416
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Country | US
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Telephone | 516-487-4500
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Fax | 516-504-0178
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, OFFICER, PRINCIPA
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Name | DR. NATHAN D SCHULMAN
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Credential | M.D.
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Telephone | 516-829-7876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 29132018
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License Number State | NY
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