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General NPI Number Information
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NPI Number | 1689920951
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Entity Type | Organization
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Legal Business Name | THE LOWER WEST SIDE HOUSING SERVICE CORPORATION
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2 OVERHILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5323
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Country | US
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Telephone | 914-722-2467
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Fax | 914-722-0748
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Provider Business Mailing Address
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Address Line | 2 OVERHILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5323
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Country | US
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Telephone | 914-722-2467
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Fax | 914-722-0748
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Authorized Official
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Title or Position | I.E. MANAGER
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Name | MS. KESIA VELASQUEZ
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Credential |
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Telephone | 914-722-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NY
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