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General NPI Number Information
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NPI Number | 1043830565
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Entity Type | Organization
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Legal Business Name | AM COUNSELING SERVICES LCSW P.C.
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 7600 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1728
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Country | US
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Telephone | 631-517-0466
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MAY ST
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City | BAY SHORE
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State | NY
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Zip | 11706-6915
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Country | US
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Telephone | 718-666-6987
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALTAGRACIA MARTINEZ
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Credential | LCSW-R
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Telephone | 718-666-6987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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