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General NPI Number Information
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NPI Number | 1073000733
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Entity Type | Organization
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Legal Business Name | GREENHOPE SERVICES FOR WOMEN, INC.
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 435 E 119TH ST
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 212-360-4002
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Fax | 212-369-4011
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Provider Business Mailing Address
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Address Line | 1776 CLAY AVE
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City | BRONX
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State | NY
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Zip | 10457-7239
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MILTON DERIENZO
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Credential |
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Telephone | 347-649-3083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 181212089
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License Number State | NY
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