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General NPI Number Information
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NPI Number | 1063108082
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Entity Type | Organization
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Legal Business Name | NORTH SHORE INSIGHT LCSW PLLC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 50 GLEN ST STE 311
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City | GLEN COVE
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State | NY
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Zip | 11542-2701
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Country | US
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Telephone | 929-324-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 17 TRADEWINDS DR
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City | BAYVILLE
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State | NY
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Zip | 11709-3013
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Country | US
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Telephone | 631-524-1111
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. ROSEMARY OCONNOR
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Credential | LCSW
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Telephone | 631-524-1111
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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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