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General NPI Number Information
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NPI Number | 1447457148
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Entity Type | Organization
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Legal Business Name | FOUNDATION FOR THE ELDERLY
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 260 DOUGHTY BLVD
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City | INWOOD
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State | NY
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Zip | 11096-1341
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Country | US
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Telephone | 516-239-8693
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Fax | 516-239-4199
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Provider Business Mailing Address
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Address Line | 150 BEACH 9TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5609
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Country | US
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Telephone | 516-239-8693
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Fax | 516-239-4199
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MAURICE D MEISELS
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Credential |
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Telephone | 516-239-8693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0956L001
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License Number State | NY
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