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General NPI Number Information
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NPI Number | 1154597219
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Entity Type | Organization
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Legal Business Name | DR. IOSPA PSYCHIATRY CONSULTING, P.C.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 25 W 43RD ST STE 714
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City | NEW YORK
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State | NY
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Zip | 10036-7414
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Country | US
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Telephone | 646-383-7575
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Fax | 646-706-7788
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Provider Business Mailing Address
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Address Line | 601 SURF AVE 17L
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City | BROOKLYN
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State | NY
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Zip | 11224-3450
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Country | US
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Telephone | 646-383-7575
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Fax | 646-706-7788
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLA IOSPA
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Credential | MD
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Telephone | 646-662-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 228993
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License Number State | NY
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