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General NPI Number Information
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NPI Number | 1982076964
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF GREATER NEW YORK
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 508 AIRPORT EXECUTIVE PARK
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City | NANUET
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State | NY
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Zip | 10954-5238
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Country | US
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Telephone | 845-425-1884
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Fax |
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Provider Business Mailing Address
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Address Line | 508 AIRPORT EXECUTIVE PARK
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City | NANUET
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State | NY
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Zip | 10954-5238
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Country | US
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Telephone | 845-425-1884
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Fax |
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Authorized Official
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Title or Position | DON
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Name | MARY DELUCIA
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Credential |
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Telephone | 845-425-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 595724
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License Number State | NY
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