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General NPI Number Information
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NPI Number | 1922004282
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Entity Type | Organization
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Legal Business Name | DEWITT REHABILITATION AND NURSING CENTER, INC.
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 211 EAST 79TH STREET
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City | NEW YORK
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State | NY
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Zip | 10075-0819
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Country | US
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Telephone | 212-879-1600
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Fax | 212-879-4594
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Provider Business Mailing Address
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Address Line | 211 E 79TH STREET
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City | NEW YORK
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State | NY
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Zip | 10075-0891
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Country | US
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Telephone | 212-879-1600
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Fax | 212-879-4594
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | ANTHONY DEROSA
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Credential |
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Telephone | 212-879-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 7002374N
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License Number State | NY
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