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General NPI Number Information
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NPI Number | 1679863393
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Entity Type | Organization
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Legal Business Name | THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 68 HAUPPAUGE RD
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City | COMMACK
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State | NY
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Zip | 11725-4403
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Country | US
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Telephone | 631-715-2600
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Fax | 631-715-2908
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Provider Business Mailing Address
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Address Line | 68 HAUPPAUGE RD
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City | COMMACK
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State | NY
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Zip | 11725-4403
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Country | US
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Telephone | 631-715-2600
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Fax | 631-715-2908
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. LOUIS VITERITTI JR.
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Credential |
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Telephone | 631-715-2511
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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 | 5157903
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License Number State | NY
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