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General NPI Number Information
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NPI Number | 1114391232
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Entity Type | Organization
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Legal Business Name | TIFFANY SYLVESTRE
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 2069 E 41ST ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2904
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Country | US
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Telephone | 347-512-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 60 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10013-4048
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Country | US
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Telephone | 347-512-6871
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. TIFFANY SYLVESTRE
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Credential | PSY.D.
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Telephone | 212-442-4488
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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 | 020109
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License Number State | NY
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