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General NPI Number Information
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NPI Number | 1043426638
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CENTER FOR MENTAL HEALTH
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1090 SAN NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-543-0777
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Fax | 212-543-2378
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Provider Business Mailing Address
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Address Line | 5565 NETHERLAND AVE
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City | BRONX
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State | NY
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Zip | 10471-2329
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Country | US
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Telephone | 201-365-8086
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MISS CATALINA ANGEL
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Credential | MA
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Telephone | 201-365-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 102L00000X
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License Number State | NY
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