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NPI 1417218827

NPI 1417218827 : ABILITIES UNLIMITED OF N.Y. : DEER PARK, NY

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General NPI Number Information
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    NPI Number           |    1417218827
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABILITIES UNLIMITED OF N.Y. 
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Dates
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    Enumeration Date     |    06/01/2012
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    Last Update Date     |    05/08/2013
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Provider Practice Location Address
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    Address Line         |    90 E. JEFRYN BLVD. 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729
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    Country              |    US
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    Telephone            |    631-254-4031
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    Fax                  |    631-254-1031
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Provider Business Mailing Address
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    Address Line         |    90 E. JEFRYN BLVD., 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729
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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    |    PRES
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    Name                 |     JOHN  ROMANO 
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    Credential           |    
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    Telephone            |    631-254-4031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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