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General NPI Number Information
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NPI Number | 1477684967
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Entity Type | Organization
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Legal Business Name | BOWERY RESIDENTS' COMMITTEE, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 131 W 25TH ST 12TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-7207
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Country | US
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Telephone | 212-803-5700
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Fax | 212-533-1893
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Provider Business Mailing Address
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Address Line | 131 W 25TH ST 12TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-7207
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Country | US
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Telephone | 212-803-5700
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Fax | 212-533-1893
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LAWRENCE ROSENBLATT
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Credential |
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Telephone | 212-803-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 131110622
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 150311840
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 151110622
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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