Dr. Douglas Michael Luxenberg
Pediatric Cardiologist
100 Pt Washington Blvd
Roslyn
, New York 11576
Dr. Douglas Michael Luxenberg
Pediatric Cardiologist
100 Pt Washington Blvd
Roslyn
, New York 11576
(516) 365-5512
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Michael Luxenberg
- 100 Port Washington Blvd Suite 108
- Roslyn, NY
- Zip : 11576-1347
- Fax : (516) 365-5512
- Phone : (516) 365-3340
Second Address
- Dr. Douglas Michael Luxenberg
- 100 Pt Washington Blvd
- Roslyn, NY
- Zip : 11576
- Fax : (516) 365-5512
- Phone : (516) 365-3340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 240697 | NY |
National Provider Identifier
| NPI | 1255343281 |
|---|---|
| Provider Name | Dr. Douglas Michael Luxenberg |
| First Address | Roslyn, NY 11576-1347 |
| Second Address | Roslyn, NY 11576 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2006 |
| Last Update Date | 24/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2954438 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.