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General NPI Number Information
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NPI Number | 1831210251
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Entity Type | Organization
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Legal Business Name | ROCCO CARUSO, MD
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 NESCONSET HWY BLDG 26B
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City | STONY BROOK
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State | NY
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Zip | 11790-2565
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Country | US
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Telephone | 631-751-8305
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Fax | 631-751-8318
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Provider Business Mailing Address
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Address Line | 2500 NESCONSET HWY BLDG 26B
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City | STONY BROOK
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State | NY
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Zip | 11790-2565
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Country | US
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Telephone | 631-751-8305
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Fax | 631-751-8318
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROCCO F CARUSO
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Credential | M.D.
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Telephone | 631-751-8305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 149725
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License Number State | NY
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