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NPI 1831377332

NPI 1831377332 : LESLIE STEVEN MARKOWITZ DDS : EAST MEADOW, NY

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General NPI Number Information
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    NPI Number           |    1831377332
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    Entity Type          |    Individual 
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    Provider Name        |    LESLIE STEVEN MARKOWITZ DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/06/2008
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    Last Update Date     |    02/06/2008
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Provider Practice Location Address
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    Address Line         |    1705 PROSPECT AVE 
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    City                 |    EAST MEADOW
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    State                |    NY
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    Zip                  |    11554
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    Country              |    US
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    Telephone            |    516-542-1373
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    Fax                  |    516-794-7570
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Provider Business Mailing Address
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    Address Line         |    1705 PROSPECT AVE 
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    City                 |    EAST MEADOW
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    State                |    NY
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    Zip                  |    11554
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    Country              |    US
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    Telephone            |    516-542-1373
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    Fax                  |    516-794-7570
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    035837
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    License Number State |    NY
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