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General NPI Number Information
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NPI Number | 1568417624
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF LONG BEACH, PLLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 455 E BAY DR
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City | LONG BEACH
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State | NY
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Zip | 11561-2301
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Country | US
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Telephone | 516-897-1347
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Fax | 516-897-4317
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-0270
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Country | US
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Telephone | 631-264-2035
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Fax | 631-264-1418
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN JAY FELDSTEIN
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Credential | M.D.
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Telephone | 516-897-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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