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General NPI Number Information
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NPI Number | 1275608390
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Entity Type | Organization
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Legal Business Name | JEWISH HOME LIFECARE SARAH NEUMAN CENTER WESTCHESTER
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 845 PALMER AVE ATTN MEDICAL DEPARTMENT
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City | MAMARONECK
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State | NY
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Zip | 10543-2406
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Country | US
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Telephone | 914-864-5856
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Fax |
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Provider Business Mailing Address
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Address Line | 845 PALMER AVE ATTN MEDICAL DEPARTMENT
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City | MAMARONECK
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State | NY
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Zip | 10543-2406
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Country | US
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Telephone | 914-864-5856
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AUDREY WEINER
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Credential | DSW
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Telephone | 212-870-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5909302N
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 5909302N
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License Number State | NY
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