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General NPI Number Information
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NPI Number | 1528174414
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Entity Type | Organization
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Legal Business Name | LUCIEN M CESIANO MD PC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 4523 BROADWAY SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10040-2415
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Country | US
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Telephone | 212-567-5555
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Fax | 212-567-5588
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Provider Business Mailing Address
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Address Line | 4523 BROADWAY SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10040-2415
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Country | US
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Telephone | 212-567-5555
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Fax | 212-567-5588
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUCIEN MAYER-CESIANO
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Credential | MD
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Telephone | 212-567-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA32610
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME23487
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G27338
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 106187
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License Number State | NY
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