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General NPI Number Information
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NPI Number | 1083801658
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICE SOCIETY OF YONKERS
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 30 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-3712
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Country | US
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Telephone | 914-963-5118
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Fax | 914-963-4313
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Provider Business Mailing Address
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Address Line | 30 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-3712
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Country | US
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Telephone | 914-963-5118
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Fax | 914-963-4313
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SETH BERMAN
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Credential |
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Telephone | 914-963-5118
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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 | 0204L001
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License Number State | NY
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