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General NPI Number Information
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NPI Number | 1710033931
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Entity Type | Organization
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Legal Business Name | NORTH NASSAU ENDOCRINOLOGY AND DIABETES PLLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 NORTHERN BLVD SUITE 240
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-829-0802
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Fax | 516-487-9433
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Provider Business Mailing Address
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Address Line | 1000 NORTHERN BLVD SUITE 240
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-829-0802
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Fax | 516-487-9433
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | DR. JONATHAN KAPLAN
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Credential | M.D.
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Telephone | 516-829-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 203765
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License Number State | NY
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