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General NPI Number Information
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NPI Number | 1790384139
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Entity Type | Organization
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Legal Business Name | NNY SENIOR SERVICES, INC
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Dates
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Enumeration Date | 10/17/2020
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 156 CHESTNUT ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4319
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Country | US
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Telephone | 315-405-4950
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Fax | 267-443-5370
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Provider Business Mailing Address
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Address Line | 156 CHESTNUT ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4319
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Country | US
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Telephone | 315-405-4950
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Fax | 267-443-5370
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANNE L NUGENT-WARD
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Credential |
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Telephone | 315-405-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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