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General NPI Number Information
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NPI Number | 1700324449
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Entity Type | Individual
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Provider Name | DAVID LESSER
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Gender | Male
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 7600 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1728
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Country | US
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Telephone | 845-641-9924
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Fax |
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Provider Business Mailing Address
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Address Line | 49 QUEBEC DR
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-3872
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Country | US
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Telephone | 845-641-9924
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0889492
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089814
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License Number State | NY
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