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General NPI Number Information
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NPI Number | 1942097647
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Entity Type | Organization
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Legal Business Name | MONDELLO, FELDMAN, AND MONDELLO DENTISTRY
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 29 BARSTOW RD STE 107
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City | GREAT NECK
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State | NY
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Zip | 11021-2209
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Country | US
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Telephone | 516-441-5300
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Fax | 516-498-2391
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Provider Business Mailing Address
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Address Line | 29 BARSTOW RD STE 107
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City | GREAT NECK
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State | NY
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Zip | 11021-2209
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Country | US
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Telephone | 516-441-5300
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Fax | 516-498-2391
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Authorized Official
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Title or Position | OFFICE MANAGAER
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Name | MS. JENNIFER GALLAGHER
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Credential |
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Telephone | 347-888-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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