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NPI Code Detail

MEDICARE: DAVID VINCENT

MEDICARE:   DAVID  VINCENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1028627MA

General Provider Information

NPI Number : 1962086850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID VINCENT
Provider Business Mailing Address
First Line : 153 E 88TH ST APT 8
Second Line :
City : NEW YORK
State : NY
Zip : 10128-2270
Country : US
Telephone Number : 917-881-4429
Fax Number :
Provider Business Practice Location Address
First Line : 153 E 88TH ST APT 8
Second Line :
City : NEW YORK
State : NY
Zip : 10128-2270
Country : US
Telephone Number : 917-881-4429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2021
Last Update Date : 05/07/2021

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Directions to “ DAVID VINCENT ” Practice Location

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