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General NPI Number Information
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NPI Number | 1538195268
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Entity Type | Organization
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Legal Business Name | ISABELLA GERIATRIC CENTER, INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 515 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10040-3403
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Country | US
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Telephone | 212-342-9427
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Fax | 212-740-3951
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Provider Business Mailing Address
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Address Line | 515 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10040-3403
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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 | DIRECTOR OF PHARMACY
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Name | MICHELE ZERENER
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Credential |
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Telephone | 212-342-9427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 027340
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License Number State | NY
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