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General NPI Number Information
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NPI Number | 1033819453
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Entity Type | Organization
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Legal Business Name | GREENWICH AVENUE PSYCHIATRY, PC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3 W END AVE STE 111
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1640
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Country | US
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Telephone | 917-540-0230
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Fax | 917-900-1602
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Provider Business Mailing Address
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Address Line | 3 W END AVE STE 111
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1640
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Country | US
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Telephone | 917-540-0230
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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. MARC PHILIP HALPERIN
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Credential | MD
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Telephone | 917-540-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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