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General NPI Number Information
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NPI Number | 1346326006
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL OF SUFFERN
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1 CROSFIELD AVE STE 202
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City | WEST NYACK
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State | NY
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Zip | 10994-2229
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Country | US
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Telephone | 845-294-2015
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Fax | 845-615-0923
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Provider Business Mailing Address
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Address Line | 1 CROSFIELD AVE STE 202
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City | WEST NYACK
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State | NY
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Zip | 10994-2229
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Country | US
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Telephone | 845-294-2015
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Fax | 845-615-0923
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MARIO DIFIGLIA
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Credential |
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Telephone | 914-493-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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