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General NPI Number Information
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NPI Number | 1093272312
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING P.C
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 510 CLINTON SQ
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City | ROCHESTER
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State | NY
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Zip | 14604-1700
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Country | US
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Telephone | 585-685-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 1970 52ND ST
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City | BROOKLYN
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State | NY
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Zip | 11204-1731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | YAKOV HALBERSTAM
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Credential |
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Telephone | 866-352-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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