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General NPI Number Information
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NPI Number | 1023474269
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Entity Type | Organization
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Legal Business Name | VINCENT PASSARELLI PSYD PLLC
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 270 LAFAYETTE ST SUITE 1209
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City | NEW YORK
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State | NY
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Zip | 10012-3311
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Country | US
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Telephone | 212-729-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 270 LAFAYETTE ST SUITE 1209
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City | NEW YORK
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State | NY
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Zip | 10012-3311
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Country | US
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Telephone | 212-729-5652
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST / FOUNDER
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Name | DR. VINCENT PASSARELLI
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Credential | PSYD
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Telephone | 212-729-5652
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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 | 016832
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License Number State | NY
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