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General NPI Number Information
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NPI Number | 1194134734
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CBT
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 30 E 76TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10021-2765
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Country | US
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Telephone | 212-362-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E 76TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10021-2765
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Country | US
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Telephone | 212-362-2820
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Fax |
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Authorized Official
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Title or Position | DIRECCTOR
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Name | DR. MICHAEL SWEENEY
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Credential | PH.D.
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Telephone | 212-362-2820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 01480-1
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License Number State | NY
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