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General NPI Number Information
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NPI Number | 1073546354
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPREHENSIVE HEALTH PRACTICE INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 35 E 110TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-0354
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Country | US
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Telephone | 212-360-7893
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Fax | 212-937-0928
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Provider Business Mailing Address
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Address Line | 35 E 110TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-0354
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Country | US
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Telephone | 212-360-7893
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Fax | 212-937-0928
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR OF OPERATIONS
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Name | ANN MENDELSOHN
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Credential |
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Telephone | 212-360-7893
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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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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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