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General NPI Number Information
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NPI Number | 1134324106
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Entity Type | Organization
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Legal Business Name | DR ROBERT L LEAHY PSYCHOLOGIST PC DBA AMERICAN INSTITUTE FOR COGNITIV
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 136 EAST 57TH STREET SUITE 1101
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City | NEW YORK
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State | NY
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Zip | 10022-2962
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Country | US
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Telephone | 212-308-2440
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Fax | 212-308-3099
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Provider Business Mailing Address
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Address Line | 136 EAST 57TH STREET SUITE 1101
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City | NEW YORK
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State | NY
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Zip | 10022-2962
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Country | US
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Telephone | 212-308-2440
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Fax | 212-308-3099
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERT L LEAHY
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Credential | PHD
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Telephone | 212-308-2440
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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 | 73341
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 73341
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License Number State | NY
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