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General NPI Number Information
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NPI Number | 1134555899
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE THERAPEUTIC SERVICES LCSW
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 291 BROADWAY SUITE 808
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City | NEW YORK
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State | NY
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Zip | 10007-1814
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Country | US
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Telephone | 212-267-2670
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Fax | 212-267-2665
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Provider Business Mailing Address
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Address Line | 291 BROADWAY SUITE 808
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City | NEW YORK
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State | NY
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Zip | 10007-1814
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Country | US
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Telephone | 212-267-2670
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Fax | 212-267-2665
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARGARITA TSALYUK
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Credential | MBA
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Telephone | 646-298-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 074052
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License Number State | NY
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