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General NPI Number Information
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NPI Number | 1053335620
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Entity Type | Organization
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Legal Business Name | UPPER MANHATTAN MENTAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 1727 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10031-4611
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Country | US
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Telephone | 212-694-9200
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Fax | 212-368-5608
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Provider Business Mailing Address
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Address Line | 1727 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10031-4611
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Country | US
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Telephone | 212-694-9200
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Fax | 212-368-5608
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WILLIAM WITHERSPOON
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Credential | LCSW
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Telephone | 212-694-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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