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General NPI Number Information
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NPI Number | 1255393195
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Entity Type | Organization
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Legal Business Name | ISLAND HOME CARE AGENCY, INC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 193 MONTAUK HWY
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City | SPEONK
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State | NY
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Zip | 11972
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Country | US
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Telephone | 631-289-6223
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Fax | 631-289-7473
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Provider Business Mailing Address
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Address Line | PO BOX 244
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City | SPEONK
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State | NY
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Zip | 11972-0244
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Country | US
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Telephone | 631-289-6223
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Fax | 631-289-7473
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JOSEPH PIERRO
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Credential | RPH
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Telephone | 631-289-6223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 9266L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1578L001
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 9266L001
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1578L001
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9266L001
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1578L001
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License Number State | NY
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