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General NPI Number Information
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NPI Number | 1003958349
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Entity Type | Organization
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Legal Business Name | MARTIN L. NASS. P.C.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19 W 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8938
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Country | US
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Telephone | 212-475-5511
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Fax | 212-533-9440
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Provider Business Mailing Address
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Address Line | 19 W 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8938
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Country | US
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Telephone | 212-475-5511
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Fax | 212-533-9440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN L NASS
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Credential | PH.D.
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Telephone | 212-475-5511
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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 | 00148
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License Number State | NY
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