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General NPI Number Information
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NPI Number | 1023473188
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Entity Type | Organization
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Legal Business Name | PREMIER SOCIAL ADULT DAY SERVICES
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 115 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3706
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Country | US
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Telephone | 516-280-8111
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Fax | 516-280-4907
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Provider Business Mailing Address
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Address Line | 115 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3706
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Country | US
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Telephone | 516-280-8111
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Fax | 516-280-4907
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. RAKESH MEHTA
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Credential |
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Telephone | 607-232-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NY
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