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General NPI Number Information
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NPI Number | 1184385775
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Entity Type | Organization
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Legal Business Name | AMUDIM COMMUNITY RESOURCES
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 45 BAYVIEW AVE
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City | INWOOD
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State | NY
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Zip | 11096
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Country | US
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Telephone | 646-517-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 45 BAYVIEW AVE
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City | INWOOD
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State | NY
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Zip | 11096-2210
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Country | US
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Telephone | 646-517-0222
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DEBRA ANNETTE LOWY
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Credential |
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Telephone | 646-517-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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