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General NPI Number Information
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NPI Number | 1154337327
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Entity Type | Organization
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Legal Business Name | AGING MATTERS PSYCHOLOGICAL SERVICES, PC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 34 SOUTH BROADWAY SUITE 600 AGING MATTERS PSYCHOLOGICAL SERVICES, PC
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-681-9435
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Fax | 914-231-9148
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Provider Business Mailing Address
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Address Line | AGING MATTERS PSYCHOLOGICAL SERVICES, PC 34 SOUTH BROADWAY SUITE 600
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-681-9435
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Fax | 914-231-9148
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA TOMASSO
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Credential | PHD
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Telephone | 914-681-9435
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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 |
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License Number State |
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