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General NPI Number Information
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NPI Number | 1962685032
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Entity Type | Organization
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Legal Business Name | THE HEARING CENTER OF LONG ISLAND, INC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 384 LARKFIELD RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-3527
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Country | US
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Telephone | 631-462-9300
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Fax | 631-266-9300
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Provider Business Mailing Address
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Address Line | 384 LARKFIELD RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-3527
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Country | US
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Telephone | 631-462-9300
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Fax | 631-266-9300
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHERYL LEISTER SENZER
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Credential | AU.D.
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Telephone | 631-462-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 000648
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License Number State | NY
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