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NPI 1639036247

NPI 1639036247 : GREATER BINGHAMTON HEALTH CENTER : BINGHAMTON, NY

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General NPI Number Information
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    NPI Number           |    1639036247
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREATER BINGHAMTON HEALTH CENTER 
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Dates
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    Enumeration Date     |    01/06/2026
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    425 ROBINSON ST 
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    City                 |    BINGHAMTON
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    State                |    NY
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    Zip                  |    13904-1775
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    Country              |    US
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    Telephone            |    607-773-4228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2360 AIRPORT RD 
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    City                 |    JOHNSON CITY
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    State                |    NY
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    Zip                  |    13790-4103
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    Country              |    US
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    Telephone            |    607-773-4228
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    Fax                  |    607-773-4212
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Authorized Official
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    Title or Position    |    LICENSED MASTER SOCIAL WORKER
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    Name                 |    MR. ABDUL  UMAR 
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    Credential           |    LMSW
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    Telephone            |    607-768-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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