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General NPI Number Information
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NPI Number | 1013345065
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Entity Type | Organization
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Legal Business Name | MONTEFIORE MOUNT VERNON HOSPITAL
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 12 N 7TH AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2026
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Country | US
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Telephone | 914-664-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 12 N 7TH AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2026
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Country | US
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Telephone | 914-664-8000
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR CREDENTIALING
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Name | JOHN M PREOLO
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Credential |
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Telephone | 914-608-5063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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