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General NPI Number Information
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NPI Number | 1033958350
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL AT MONTEFIORE
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 3360 WALLACE AVE FL 2
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City | BRONX
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State | NY
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Zip | 10467-6217
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Country | US
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Telephone | 631-949-5173
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MS. MONIKA GORCZYCA
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Credential | CPCS
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Telephone | 718-741-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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