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General NPI Number Information
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NPI Number | 1235596909
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Entity Type | Organization
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Legal Business Name | GREATER NEW YORK SERVICES
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 10425 195TH ST APT 2A
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1146
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Country | US
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Telephone | 917-392-3887
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Fax |
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Provider Business Mailing Address
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Address Line | 104-25 195TH STREET APT 2A
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City | SAINT ALBANS
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State | NY
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Zip | 11412
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Country | US
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Telephone | 917-392-3887
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | ROSEMAY JOSEPH-FORTE
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Credential |
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Telephone | 917-392-3887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 285958-1
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License Number State | NY
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