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General NPI Number Information
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NPI Number | 1528076528
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Entity Type | Organization
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Legal Business Name | NEW YORK SPINE SPECIALISTS LLP
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 MARCUS AVE STE 170 WEST NEW YORK SPINE SPECIALISTS LLP
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City | LAKE SUCCESS
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State | NY
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Zip | 11042-1035
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Country | US
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Telephone | 516-355-0111
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Fax | 516-355-5457
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Provider Business Mailing Address
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Address Line | 2001 MARCUS AVE STE 170 WEST NEW YORK SPINE SPECIALISTS LLP
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City | LAKE SUCCESS
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State | NY
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Zip | 11042-1035
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Country | US
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Telephone | 516-355-0111
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Fax | 516-355-5457
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Authorized Official
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Title or Position | MD OWNER
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Name | MR. SEBASTIAN LATTUGA
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Credential | MD FACOS
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Telephone | 516-355-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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