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General NPI Number Information
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NPI Number | 1881790038
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH SERVICES HOSPITALS, INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 4417 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-3556
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Country | US
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Telephone | 607-770-7358
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Fax | 607-729-2246
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Provider Business Mailing Address
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Address Line | 4417 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-3556
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Country | US
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Telephone | 607-770-7358
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Fax | 607-729-2246
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. RYAN CHRISTOPHER DECARO
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Credential | PHARMD
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Telephone | 585-730-0752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 029344
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License Number State | NY
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