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General NPI Number Information
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NPI Number | 1003595281
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Entity Type | Organization
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Legal Business Name | CAROLYN D. GREENE PSY.D., P.C.
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 15 PARKWAY
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City | KATONAH
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State | NY
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Zip | 10536-1505
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Country | US
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Telephone | 917-579-0943
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Fax |
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Provider Business Mailing Address
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Address Line | 26 LILY POND LN
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City | KATONAH
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State | NY
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Zip | 10536-1803
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Country | US
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Telephone | 917-579-0943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROLYN D. GREENE
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Credential | PSY.D.
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Telephone | 917-579-0943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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