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NPI Code Detail

MEDICARE: 99 FORT WASHINGTON HOUSES SERVICES FOR THE ELDERY

MEDICARE: 99 FORT WASHINGTON HOUSES SERVICES FOR THE ELDERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1578712162
Entity Type Code : Organization
Provider Name (Legal Business Name) : 99 FORT WASHINGTON HOUSES SERVICES FOR THE ELDERY
Provider Business Mailing Address
First Line : 99 FORT WASHINGTON AVENUE
Second Line :
City : NEW YORK
State : NEW YORK
Zip : 10032
Country : UM
Telephone Number : 212-927-5600
Fax Number : 212-927-5612
Provider Business Practice Location Address
First Line : 99 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-4655
Country : US
Telephone Number : 212-927-5600
Fax Number : 212-927-5612
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MISS REBECCA CAREL
Credential :
Telephone Number : 212-927-5600
Provider Enumeration Date : 09/18/2008
Last Update Date : 09/18/2008

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