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General NPI Number Information
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NPI Number | 1740278910
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Entity Type | Organization
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Legal Business Name | NEW YORK CONGREGATIONAL NURSING CENTER
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 135 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11226-3302
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Country | US
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Telephone | 718-693-6060
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Fax | 718-284-0349
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Provider Business Mailing Address
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Address Line | 135 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11226-3302
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Country | US
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Telephone | 718-693-6060
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Fax | 718-284-0349
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Authorized Official
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Title or Position | CFO
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Name | MS. MAUREEN MESSA
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Credential |
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Telephone | 718-284-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 7001309N
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License Number State | NY
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