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General NPI Number Information
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NPI Number | 1497142442
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Entity Type | Organization
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Legal Business Name | TRI-MED SOCIAL ADULT DAY SERVICES
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 16-12 CENTRAL AVE 1ST FL
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City | FAR ROCKWAY
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State | NY
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Zip | 11691
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Country | US
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Telephone | 718-483-1900
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Fax | 347-926-4020
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Provider Business Mailing Address
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Address Line | 49 PIERMONT AVE SUITE 101
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City | HEWLETT
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State | NY
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Zip | 11557-2109
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Country | US
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Telephone | 516-312-4914
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Fax | 516-569-0722
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Authorized Official
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Title or Position | ASSOCIATE ADMINISTRATOR
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Name | MR. MARK D BECKER
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Credential | MHA
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Telephone | 347-727-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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