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General NPI Number Information
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NPI Number | 1760721229
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Entity Type | Organization
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Legal Business Name | SECOND FAMILY
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 203 E 121ST ST
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City | NEW YORK
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State | NY
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Zip | 10035-3018
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Country | US
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Telephone | 718-916-7949
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Fax | 212-813-4501
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Provider Business Mailing Address
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Address Line | 203 EAST 121 ST
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 212-831-4500
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Fax | 212-831-4501
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Authorized Official
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Title or Position | OWNER
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Name | PETER MESHREKY
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Credential |
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Telephone | 212-831-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 335720156
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License Number State | NY
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Taxonomy #2
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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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