Individual
DR. DOUGLAS MICHAEL LUXENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 PT WASHINGTON BLVD, ROSLYN, NY 11576
(516) 365-3340
(516) 365-5512
Mailing address
100 PORT WASHINGTON BLVD, SUITE 108, ROSLYN, NY 11576-1347
(516) 365-3340
(516) 365-5512
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
240697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2954438
—
NY
Enumeration date
08/11/2006
Last updated
02/24/2011
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