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General NPI Number Information
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NPI Number | 1023380771
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS LCSW, PC
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 14 WASHINGTON AVE SUITE 2
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City | BRENTWOOD
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State | NY
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Zip | 11717-3247
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Country | US
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Telephone | 631-766-8989
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Fax | 888-272-0686
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Provider Business Mailing Address
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Address Line | 14 WASHINGTON AVE SUITE 2
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City | BRENTWOOD
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State | NY
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Zip | 11717-3247
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Country | US
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Telephone | 631-766-8989
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Fax | 888-272-0686
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. ANA CARRION
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Credential | PHD., LCSW-R
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Telephone | 631-766-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 108482880
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R-051132-1
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License Number State | NY
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