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General NPI Number Information
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NPI Number | 1790848257
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Entity Type | Organization
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Legal Business Name | WESTCHESTER COUNTY HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2115
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Country | US
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Telephone | 914-493-7862
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Fax | 914-493-5334
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Provider Business Mailing Address
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Address Line | 25 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2115
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCIAL PLANNING
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Name | MARK FERSKO
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Credential |
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Telephone | 914-493-2803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 015746
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License Number State | NY
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