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General NPI Number Information
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NPI Number | 1083950893
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Entity Type | Organization
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Legal Business Name | TREMONT SOCIAL GARDEN,INC
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 563 E TREMONT AVE 2ND FLOOR
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City | BRONX
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State | NY
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Zip | 10457-4655
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Country | US
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Telephone | 845-423-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 563 E TREMONT AVE 2ND FLOOR
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City | BRONX
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State | NY
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Zip | 10457-4655
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Country | US
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Telephone | 845-423-7822
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Fax | 917-792-8502
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Authorized Official
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Title or Position | OWNER
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Name | SLAVIK GORD
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Credential |
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Telephone | 845-423-7822
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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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