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General NPI Number Information
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NPI Number | 1508956293
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Entity Type | Organization
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Legal Business Name | NASSAU HEMATOLOGY ONCOLOGY, PC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 410 LAKEVILLE RD STE 311
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1101
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Country | US
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Telephone | 516-358-2400
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Fax | 516-358-5535
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Provider Business Mailing Address
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Address Line | 410 LAKEVILLE RD STE 311
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1101
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Country | US
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Telephone | 516-358-2400
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Fax | 516-358-5535
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. NANCY CRISPI
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Credential |
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Telephone | 516-358-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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