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General NPI Number Information
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NPI Number | 1043783244
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Entity Type | Organization
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Legal Business Name | TMS LONG ISLAND CORP
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 400 POST AVE STE 307
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City | WESTBURY
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State | NY
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Zip | 11590-2226
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Country | US
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Telephone | 718-635-2204
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Fax | 516-977-9084
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Provider Business Mailing Address
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Address Line | 15 FOREST AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-7806
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Country | US
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Telephone | 718-635-2204
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Fax |
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | DR. KATHERINE LEIGH FIORI
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Credential | PH.D.
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Telephone | 718-635-2204
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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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