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General NPI Number Information
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NPI Number | 1245561075
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Entity Type | Organization
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Legal Business Name | AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 300 E OVERLOOK
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4722
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Country | US
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Telephone | 516-472-6632
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Fax | 516-472-6690
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Provider Business Mailing Address
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Address Line | 300 E OVERLOOK
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4722
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Country | US
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Telephone | 516-472-6632
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Fax | 516-472-6690
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Authorized Official
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Title or Position | SR. VICE-PRESIDENT & CHIEF FIANCIAL
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Name | MR. MARK PANCIRER
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Credential |
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Telephone | 212-575-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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