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General NPI Number Information
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NPI Number | 1932560190
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Entity Type | Organization
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Legal Business Name | NEW MILLENIUM NY INC
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 117-14 QUEENS BOULEVARD
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-575-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 11714 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-7052
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Country | US
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Telephone | 718-575-8191
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Fax | 718-575-8193
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Authorized Official
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Title or Position | CEO
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Name | MRS. BINA SLUTSKAYA
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Credential |
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Telephone | 718-575-8191
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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 | 1821L001
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License Number State | NY
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