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General NPI Number Information
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NPI Number | 1164390159
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Entity Type | Organization
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Legal Business Name | YOUR NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 200 VESEY ST RM 24066
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City | NEW YORK
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State | NY
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Zip | 10281-5525
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Country | US
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Telephone | 347-899-5226
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Fax | 718-550-6533
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Provider Business Mailing Address
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Address Line | 200 VESEY ST RM 24066
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City | NEW YORK
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State | NY
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Zip | 10281-5525
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Country | US
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Telephone | 347-899-5226
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Fax | 718-550-6533
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Authorized Official
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Title or Position | OWNER
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Name | SAMIRA HAFIZ
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Credential | NP
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Telephone | 347-899-5226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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