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General NPI Number Information
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NPI Number | 1598276305
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE ALLIANCE OF NY INC.
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 500 7TH AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 833-692-2269
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Fax | 914-368-0173
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Provider Business Mailing Address
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Address Line | 60 E 42ND ST STE 1762
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City | NEW YORK
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State | NY
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Zip | 10165-6227
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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 | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH JOHN NAGY
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Credential |
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Telephone | 833-692-2269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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