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General NPI Number Information
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NPI Number | 1972922417
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Entity Type | Organization
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Legal Business Name | NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 16 BEACON HILL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3436
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Country | US
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Telephone | 732-794-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 16 BEACON HILL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3436
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Country | US
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Telephone | 732-794-2508
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ALBERT S DWECK
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Credential | RPH
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Telephone | 732-794-2508
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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 | 034062
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License Number State | NY
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