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General NPI Number Information
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NPI Number | 1891842308
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Entity Type | Organization
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Legal Business Name | BON SECOURS COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 160 E MAIN ST
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City | PORT JERVIS
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State | NY
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Zip | 12771-2114
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Country | US
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Telephone | 845-858-7000
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Fax | 845-858-7415
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Provider Business Mailing Address
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Address Line | 160 E MAIN ST
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City | PORT JERVIS
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State | NY
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Zip | 12771-2114
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Country | US
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Telephone | 845-858-7000
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Fax | 845-858-7415
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MARIO DIFIGLIA
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Credential | FHFMA
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Telephone | 914-493-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State | NY
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