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General NPI Number Information
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NPI Number | 1346032455
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Entity Type | Organization
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Legal Business Name | LOWER WEST SIDE HOUSEHOLD SERVICES CORP
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 75 SOUTH BROADWAY 4TH FLOOR, SUITE 464
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-722-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 75 S BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4413
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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 | EXECUTIVE DIRECTOR
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Name | LUCIA PONS
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Credential |
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Telephone | 212-307-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral 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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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