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Contact Information

DOUGLAS M LUXENBERG, DO
100 PT WASHINGTON BLVD
ROSLYN, NY11576
 Phone: 516-365-3340
 Fax: 516-365-5512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DOUGLAS M LUXENBERG · (Male)

NPI # 1255343281
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/11/2006
Last updated 02/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 240697
  • NY Medicaid 2954438
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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