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General NPI Number Information
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NPI Number | 1770580516
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 505 MAIN ST
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City | NORTHPORT
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State | NY
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Zip | 11768
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Country | US
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Telephone | 631-261-7200
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Fax | 631-912-1121
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Provider Business Mailing Address
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Address Line | 505 MAIN ST
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City | NORTHPORT
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State | NY
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Zip | 11768-1954
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Country | US
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Telephone | 631-261-7200
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Fax | 631-912-1121
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SILVIA COTA
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Credential | MBA, BSN, RN, CEN
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Telephone | 631-261-7200
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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 | 5125600
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License Number State | NY
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