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NPI 1023879327

NPI 1023879327 : COLUMBUS CIRCLE PSYCHOLOGY P.C. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1023879327
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    Entity Type          |    Organization 
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    Legal Business Name  |    COLUMBUS CIRCLE PSYCHOLOGY P.C. 
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Dates
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    Enumeration Date     |    01/23/2024
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    Last Update Date     |    01/23/2024
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Provider Practice Location Address
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    Address Line         |    240 CENTRAL PARK SOUTH SUITE 2H-A
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019
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    Country              |    US
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    Telephone            |    917-687-6232
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    240 CENTRAL PARK SOUTH SUITE 2H-A
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019
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    Country              |    US
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    Telephone            |    917-687-6232
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT (PSYCHOLOGIST)
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    Name                 |    DR. STEPHANIE W ROSEN 
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    Credential           |    PSYD
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    Telephone            |    917-687-6232
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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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