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General NPI Number Information
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NPI Number | 1154191674
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Entity Type | Organization
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Legal Business Name | CENTER FOR THE INDEPENDENCE OF THE DISABLED IN NEW YORK, INC.
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 1010 AVENUE OF THE AMERICAS SUITE #301
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City | NEW YORK
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State | NY
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Zip | 10080-0023
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Country | US
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Telephone | 212-674-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 AVENUE OF THE AMERICAS SUITE #301
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City | NEW YORK
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State | NY
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Zip | 10080-0023
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Country | US
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Telephone | 212-674-2300
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHARON MCLENNON WIER
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Credential | , PH.D., MSED., CRC
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Telephone | 646-933-0174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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