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General NPI Number Information
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NPI Number | 1144792805
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Entity Type | Organization
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Legal Business Name | MORNINGSIDE ACQUISITIONS III LLC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 1000 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1003
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Country | US
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Telephone | 718-409-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CROSSWAYS PARK DR
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City | WOODBURY
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State | NY
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Zip | 11797-2054
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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 | MANAGER / MEMBER
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Name | PASQUALE DEBENEDICTIS
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Credential |
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Telephone | 516-422-7818
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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