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General NPI Number Information
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NPI Number | 1114929973
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Entity Type | Organization
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Legal Business Name | RIVINGTON HOUSE DAY TREATMENT PROGRAM
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 45 RIVINGTON ST
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City | NEW YORK
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State | NY
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Zip | 10002-1304
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Country | US
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Telephone | 212-539-6450
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Fax | 212-539-6455
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Provider Business Mailing Address
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Address Line | 154 CHRISTOPHER ST SUITE 2D
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City | NEW YORK
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State | NY
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Zip | 10014-2840
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Country | US
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Telephone | 212-337-5600
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Fax | 212-337-5839
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICIER
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Name | MRS. EMMA DEVITO
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Credential | CEO
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Telephone | 212-337-5600
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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 | 7002353N
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License Number State | NY
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