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General NPI Number Information
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NPI Number | 1881809390
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Entity Type | Organization
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Legal Business Name | LONG ISLAND COLLEGE HOSPITAL
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8701 SHORE RD APT 223
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City | BROOKLYN
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State | NY
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Zip | 11209-4246
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Country | US
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Telephone | 917-699-5043
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 SHORE RD APT 223
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City | BROOKLYN
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State | NY
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Zip | 11209-4246
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Country | US
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Telephone | 917-699-5043
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. FILOMENA M PAPAPIETRO
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Credential | D.D.S
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Telephone | 917-699-5043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 052194
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License Number State | NY
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