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General NPI Number Information
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NPI Number | 1073942751
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Entity Type | Organization
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Legal Business Name | SOCIAL ADULT DAY CARE CENTERS OF NEW YORK, LLC
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 13005 101ST AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1519
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Country | US
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Telephone | 347-425-1993
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Fax | 347-293-0047
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Provider Business Mailing Address
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Address Line | 12201 LIBERTY AVE FL 2
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2113
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Country | US
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Telephone | 347-425-1993
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Fax | 347-293-0047
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. RUSHIK PATEL
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Credential |
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Telephone | 347-425-1993
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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 |
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