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General NPI Number Information
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NPI Number | 1023471935
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Entity Type | Organization
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Legal Business Name | LOWER WEST SIDE HOUSEHOLD SERVICES CORP
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 225 DOLSON AVE STE 206A
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6570
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Country | US
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Telephone | 914-722-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 225 DOLSON AVE STE 206A
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6570
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Country | US
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Telephone | 212-307-7107
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LUCIA PONS
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Credential |
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Telephone | 212-307-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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