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General NPI Number Information
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NPI Number | 1851567325
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Entity Type | Organization
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Legal Business Name | VISITING NURSE & HOMECARE REFERRAL SERVICES OF BAY SHORE INC.
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1010 SUFFOLK AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4526
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Country | US
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Telephone | 631-328-1117
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Fax | 631-328-1118
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Provider Business Mailing Address
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Address Line | 1010 SUFFOLK AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4526
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Country | US
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Telephone | 631-328-1117
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Fax | 631-328-1118
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MUHAMMAD A KADER
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Credential | OWNER
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Telephone | 212-466-6377
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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 | 1419L001
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License Number State | NY
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