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General NPI Number Information
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NPI Number | 1871738252
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Entity Type | Organization
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Legal Business Name | WILLIAM A. FACIBENE, M.D., P.C.
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 1999 MARCUS AVE SUITE 102
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1017
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Country | US
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Telephone | 516-352-4900
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Fax | 516-352-7856
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Provider Business Mailing Address
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Address Line | 1999 MARCUS AVE SUITE 102
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1017
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Country | US
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Telephone | 516-352-4900
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Fax | 516-352-7856
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM A. FACIBENE
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Credential | M.D.
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Telephone | 516-352-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 185310
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License Number State | NY
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