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General NPI Number Information
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NPI Number | 1811013824
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Entity Type | Organization
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Legal Business Name | MONTEFIORE MEDICAL CENTER JACK D WEILER HOSPITAL
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1825 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10461-2301
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Country | US
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Telephone | 718-904-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10461-2301
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Country | US
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Telephone | 718-904-2838
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANK P SOSNOWSKI
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Credential | RPH
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Telephone | 718-920-4529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 012551
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 012551
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 012551
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License Number State | NY
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