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General NPI Number Information
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NPI Number | 1598651762
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Entity Type | Organization
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Legal Business Name | LEVI Y GROSSER DMD PC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 222 ROCKAWAY TPKE
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City | CEDARHURST
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State | NY
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Zip | 11516-1833
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Country | US
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Telephone | 516-253-5292
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Fax |
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Provider Business Mailing Address
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Address Line | 188 DONAHUE AVE
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City | INWOOD
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State | NY
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Zip | 11096-1052
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Country | US
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Telephone | 516-398-4110
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. LEVI Y GROSSER
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Credential | DMD
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Telephone | 516-398-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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