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General NPI Number Information
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NPI Number | 1538180559
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Entity Type | Organization
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Legal Business Name | MONTEFIORE NYACK HOSPITAL
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 17 SQUADRON BLVD
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City | NEW CITY
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State | NY
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Zip | 10956-5214
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Country | US
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Telephone | 845-638-8714
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Fax | 845-638-8805
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Provider Business Mailing Address
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Address Line | 160 N MIDLAND AVE
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City | NYACK
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State | NY
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Zip | 10960-1912
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Country | US
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Telephone | 845-638-8714
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Fax | 845-638-8805
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Authorized Official
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Title or Position | ADMINISTRATOR HOME CARE
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Name | MS. COLLEEN NUNES
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Credential | OTR/L
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Telephone | 845-348-8714
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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 | 4324601
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License Number State | NY
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