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General NPI Number Information
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NPI Number | 1063819134
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Entity Type | Individual
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Provider Name | KRISTINA DANIELS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 329 E 62ND ST
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City | NEW YORK
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State | NY
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Zip | 10065-7769
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Country | US
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Telephone | 212-838-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 172 RHODODENDRON DR
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City | WESTBURY
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State | NY
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Zip | 11590-1223
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Country | US
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Telephone | 518-210-1281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022186
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License Number State | NY
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