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General NPI Number Information
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NPI Number | 1093626731
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Entity Type | Individual
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Provider Name | NEHA SRINIVAS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1100
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Country | US
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Telephone | 718-470-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E 39TH ST APT 16I
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City | NEW YORK
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State | NY
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Zip | 10016-2290
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Country | US
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Telephone | 732-258-8306
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 028453
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License Number State | NY
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