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General NPI Number Information
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NPI Number | 1609518372
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Entity Type | Organization
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Legal Business Name | 3RD AVENUE SADC CORP
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 2929 3RD AVE FL 2
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City | BRONX
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State | NY
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Zip | 10455-2606
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Country | US
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Telephone | 646-255-7929
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Fax |
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Provider Business Mailing Address
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Address Line | 9 VANDERBILT CT
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-4401
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Country | US
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Telephone | 646-255-7929
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | ANNA SHTEYNBERG
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Credential |
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Telephone | 646-255-7929
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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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