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General NPI Number Information
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NPI Number | 1770589251
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Entity Type | Organization
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Legal Business Name | CHARLES T. SITRIN HEALTH CARE CENTER, INC
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2050 TILDEN AVE BOX 1000
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3613
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Country | US
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Telephone | 315-797-3114
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Fax | 315-797-6955
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Provider Business Mailing Address
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Address Line | 2050 TILDEN AVE PO BOX 1000
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3613
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Country | US
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Telephone | 315-797-3114
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Fax | 315-624-0474
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Authorized Official
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Title or Position | CEO
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Name | MRS. CHRISTA L SERAFIN
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Credential |
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Telephone | 315-797-3114
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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 |
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License Number State | NY
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