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General NPI Number Information
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NPI Number | 1164549119
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Entity Type | Organization
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Legal Business Name | CARNEGIE HILL INSTITUTE
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 116 E 92ND ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10128-1620
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Country | US
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Telephone | 646-672-1105
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E 92ND ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10128-1620
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Country | US
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Telephone | 646-672-1105
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANNA MARIE KARKUS
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Credential |
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Telephone | 646-672-1105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 071211257
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License Number State | NY
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